ATI Mental Health Exam II | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Determining if the client has psychotic thinking. This is the highest priority because psychotic thinking can pose a significant risk to the client's safety and well-being. Psychotic symptoms may include hallucinations or delusions which could lead to harm. It is crucial for the nurse to assess this first to ensure appropriate interventions are implemented promptly.

As for the other choices:
B: Asking the client to identify the cause of the crisis - While understanding the cause is important, it is not as urgent as assessing for psychotic thinking.
C: Identifying the client's coping skills - Coping skills assessment is valuable but not as critical as assessing for psychotic symptoms.
D: Identifying the client's support systems - Support systems are essential but not as immediate as evaluating for psychotic thinking.

Assessing for psychotic thinking takes precedence due to the potential risks associated with untreated psychosis.

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