Registered Practical Nurse (RPN) Practice Test

When beginning an assessment, what should the psychiatric nurse prioritize?

1. Feedback from family members

2. Observation of the client's behavior

3. Medical history review

4. Client's self-reported symptoms

The correct answer is: Observation of the client's behavior

In the context of psychiatric nursing, prioritizing the observation of the client's behavior when beginning an assessment is essential for several reasons. Firstly, behavior is a direct reflection of a person’s mental state and can provide immediate insights into their mood, thoughts, and coping mechanisms. Observing how a client interacts with the environment, how they communicate, and any non-verbal cues can reveal important information that may not be captured through self-reports or history alone. Furthermore, initial observations can guide the nurse on how to approach the subsequent parts of the assessment. For instance, if a nurse notices withdrawal, agitation, or unusual interactions, these behaviors can help tailor questions regarding self-reported symptoms and influence the way medical history is contextualized. This initial assessment can also establish rapport and trust between the client and the nurse, making the client feel more comfortable and open in sharing their thoughts and feelings. In psychiatric nursing, understanding the client's behavior is foundational because it helps in forming an accurate diagnosis and developing an appropriate care plan tailored to the client’s unique needs. This proactive observation can lead to timely interventions that are critical in managing mental health crises effectively.