💊 NCLEX-RN Exam Prep

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?

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.
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.

✓ Correct Answer: Option A

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.

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