Place the nursing actions in order after a client at high risk for elopement cannot be found on the inpatient unit.
Ordered Response
Choose your responses, then check the answer.
Explanation
First exclude a planned movement and begin an immediate unit search without abandoning other clients. Activate the facility-wide alert with a usable description and last-known location. If the client is not found promptly, expand the coordinated search and security response. Assess the client as soon as the client is located, then document the event and strengthen the prevention plan.
Correct sequence Verify and search the immediate area → activate the security alert → expand the coordinated search → assess the recovered client → document and revise prevention.
Why this is correct Elopement creates an immediate safety threat. A rapid, coordinated response is more effective than an unstructured search by one nurse. Recovery does not end the response; the client needs assessment for injury or deterioration and the team must correct the failed safeguards.
NCLEX decision rule Use the facility emergency plan early. Protect current clients, communicate a precise description and last-known location, and close the loop after recovery.
References
1CMS: preventable patient-protection events
2NCSBN 2026 NCLEX-RN Test Plan
Missing-client security responseAn older adult with delirium and impaired safety awareness was last seen in the room 5 minutes ago. The client is not scheduled for a test or transfer. Follow the facility's elopement and emergency-security plan; exact notification roles may vary by policy.
Elopement — An unauthorized departure by a client whose condition or circumstances create a safety risk.
Last-Known Location — The most recent verified place and time at which a missing person was seen.
Security Alert — A facility-defined emergency notification that coordinates search, exit surveillance, and escalation roles.