A client who has been physically aggressive arrives at the emergency department for a psychiatric assessment. Which approach would be best for the nurse to use?

Use brief statements and questions to obtain information.

Provide close contact to increase the client's sense of safety.

Have a sense of humor to show a lack of fear.

Use open-ended questions so the client can elaborate.

Answer and Explanation

The Correct Answer is A

Explanation: When dealing with a client who has been physically aggressive and is in distress, the best approach for the nurse is to use brief statements and questions to obtain essential information. This approach helps to keep the communication clear, focused, and non-threatening. The nurse should maintain a calm and assertive demeanor while avoiding lengthy discussions that may escalate the client's agitation.

Options not appropriate in this situation:

B. Providing close contact to increase the client's sense of safety may not be safe for the nurse or the client, especially when dealing with someone who has been physically aggressive. It is essential to maintain a safe distance and ensure the safety of everyone involved.

C. Having a sense of humor to show a lack of fear can be misinterpreted by the client and may not be appropriate or therapeutic in this context. The focus should be on establishing a professional and respectful rapport with the client, prioritizing their needs and safety.

Option D may not be the best approach because open-ended questions could lead to lengthy responses, which may not be suitable for a client who is in distress and potentially aggressive. The nurse should aim for concise and clear communication to ensure safety and facilitate a psychiatric assessment efficiently.

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Correct Answer is D

Explanation

Falsely imprisoning a client involves restricting their freedom and movement against their will without proper legal authority or justification. Option D demonstrates false imprisonment because the nurse applies restraints to restrict the client's movement and then forces the medication into the client's mouth, essentially depriving the client of their right to refuse treatment.

Options A, B, and C are not examples of false imprisonment:

A. The nurse informing the client that the behavior will not be tolerated and will be addressed by the psychiatrist is a response to the client's inappropriate behavior. It does not involve restricting the client's freedom or movement.

B. The nurse throwing the medication in the trash and documenting the client's refusal is an appropriate response to the client's refusal of medication. It respects the client's right to refuse treatment.

C. The nurse pushing the client and causing them to fall to the floor, resulting in a nosebleed, is an example of physical assault and battery, not false imprisonment. It is an inappropriate and harmful action by the nurse.

A. Laws do not provide protection against abuse when the suspect(s) is/are family members. B. The client has no financial resources to hire legal representation against the client's children. C. The client is emotionally close to the children and does not want to bring them harm. D. The client cannot claim abuse if there is no evidence of physical harm.

Correct Answer is C

Explanation

In cases of elder abuse by family members, the emotional bond and dependency on the abusers can create a significant barrier for the older adult to report the abuse. The client may fear damaging the relationship with their adult children or causing harm to the family dynamics. This emotional closeness and loyalty to the family may prevent the client from disclosing the abuse and seeking help.

Option A is not correct because laws do provide protection against elder abuse, including abuse by family members. Many jurisdictions have specific laws and protective services in place to address elder abuse.

Option B is not correct because financial resources, while important, are not the primary reason why the client has not reported the abuse. The emotional bond with the abusers is a more significant factor.

Option D is not correct because abuse does not need to involve physical harm to be considered abuse. Emotional, financial, and other forms of abuse can also be harmful and should be reported and addressed.

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A client who has been physically aggressive arrives at the emergency department for a psychiatric assessment. Which approach would be best for the nurse to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is informed by the nurse that they must take their medication, and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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