A nurse enters the room of a male patient who exhibits suspicious behavior.
The patient yells, “Stay away from my closet!” What is the most appropriate action for the nurse to take?
Inspect the patient’s closet when the patient is engaged in an activity away from the unit
Ask the patient why the contents of the closet are so important to him
Inform the patient that the staff will need to examine the contents of the closet due to his behavior
Avoid approaching the closet
The Correct Answer is D
When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient’s personal space and can help de-escalate potential agitation or aggression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While loss of interest in activities can be a symptom of depression, it is not the most common behavior exhibited by adolescents with depression.
Choice B rationale
Mood swings can occur in adolescents with depression, but they are not the most common behavior.
Choice C rationale
Depressed mood is a symptom of depression, but it is not the most common behavior exhibited by adolescents with depression.
Choice D rationale
Irritable moods and acting out are the most common behaviors exhibited by adolescents with depression, as per the school health nurse’s knowledge.
Correct Answer is B
Explanation
Choice A rationale
Becoming helpless might be a response to a stressful situation or a symptom of a mental health disorder. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice B rationale
Returning to previous maladaptive behavior is a regressive response to the termination of a therapeutic relationship. It indicates a relapse into old, unhelpful patterns of behavior.
Choice C rationale
Bringing up new problems might indicate ongoing struggles or the emergence of new issues. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice D rationale
Denying caregiver’s help might indicate resistance or a lack of trust in the therapeutic process. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
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