A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide?
Select one:
Others are being distracted; Please, quiet down and go to your room.
You seem pretty upset. Tell me about it
Please go to your room to get control of yourself.
What’s going on? Be quiet.
The Correct Answer is B
This response acknowledges the client's distress and opens the opportunity for the client to express their feelings and concerns. It also demonstrates empathy and a willingness to listen, which can help deescalate the situation and build trust between the nurse and client.
Option a ("Others are being distracted; Please, quiet down and go to your room") is dismissive of the client's feelings and may further escalate the situation.
Option c ("Please go to your room to get control of yourself") is directive and may be perceived as confrontational, potentially increasing the client's agitation.
Option d ("What's going on? Be quiet") is insensitive and dismissive of the client's distress and may further agitate the client.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Disulfiram is a medication used in the treatment of alcohol addiction. It works by causing unpleasant symptoms, such as nausea and vomiting, when alcohol is consumed. This medication is only effective if the client abstains from alcohol consumption while taking it. If the client consumes alcohol while taking disulfiram, they will experience severe adverse effects, including nausea and vomiting, which can be a sign of a severe reaction. Therefore, it is crucial for the nurse to suspect that the client's distress is likely caused by consuming alcohol while taking disulfiram.
Option a is incorrect because nausea and vomiting are not common side effects of disulfiram.
Option c is incorrect because the question does not provide any information suggesting an allergic reaction.
Option d is incorrect because an overdose of disulfiram would not likely cause nausea and vomiting as severe as those reported by the client.

Correct Answer is D
Explanation
Autonomy is the ethical principle that upholds an individual's right to self-determination and decision- making regarding their own life and treatment. In this case, the unit manager's policy of allowing clients to make their own choice about whether or not to attend group therapy preserves the principle of autonomy.
By not mandating group therapy, the unit manager respects the clients' right to make decisions about their own treatment and encourages them to participate in a way that feels comfortable and aligned with their own goals and values. This promotes a sense of empowerment and self-efficacy in clients, which is important for their overall recovery and well-being.
While beneficence, non-maleficence, and justice are also important ethical principles in healthcare, they are not directly applicable to this particular situation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.