A client voluntarily admitted to an inpatient psychiatric unit approaches the nurse stating, "I've changed my mind; I want to go home right now." The client shows no immediate signs of being a danger to self or others. What is the nurse's most appropriate initial action?

The correct answer to the question "A client voluntarily admitted to an inpatient psychiatric unit approaches the nurse stating, "I've changed my mind; I want to go home right now." The client shows no immediate signs of being a danger to self or others. What is the nurse's most appropriate initial action?" is Option A: Inform the client that, as a voluntary admission, they must sign a 72-hour notice of intent to leave, and a physician will assess their discharge readiness..

The other options — B) Immediately contact the client's attending psychiatrist to obtain a discharge order., C) Explain that because they are in a psychiatric facility, they cannot simply leave without a medical review., D) Document the client's request in the chart and observe them for any changes in behavior. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: Voluntarily admitted clients have the right to request discharge; a 72-hour notice allows the team to assess safety, plan for discharge, or consider involuntary status if warranted.