A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?
A client who is repeatedly approaching the nurses' station to request medication for his anxiety.
A client who is standing in her room, yelling obscenities, and throwing her clothes.
A client who has bipolar disorder and is continuously pacing at the end of the hall.
A client in the dayroom who is screaming at other clients about what is on the television.
The Correct Answer is B
Choice A rationale
While this client may need attention, the behavior is not immediately dangerous.
Choice B rationale
This client requires immediate attention due to the risk of harm to herself and others through throwing objects and yelling, which indicates potential for escalation.
Choice C rationale
Pacing, although concerning, does not pose an immediate risk of physical harm compared to Choice B.
Choice D rationale
The client is disruptive but not immediately dangerous compared to the client in Choice B who poses a more direct risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Loss of a job is a situational crisis, not a maturational crisis. A situational crisis arises from external circumstances and unexpected events.
Choice B rationale
A motor-vehicle crash is also a situational crisis, resulting from sudden and traumatic incidents.
Choice C rationale
Divorce is classified as a situational crisis due to its sudden and unplanned nature.
Choice D rationale
A child leaving for college represents a maturational crisis, as it pertains to the normal growth and development process that causes stress or disruptions.
Correct Answer is B
Explanation
Choice A rationale
Making a unit calendar helps with orientation but doesn't specifically engage reminiscence therapy, which focuses on recalling past experiences.
Choice B rationale
Discussing childhood memories fosters reminiscence, aiding in cognitive stimulation and emotional connection among older adults.
Choice C rationale
Thought-stopping techniques are more suited for managing negative thoughts in disorders like anxiety or depression, not for reminiscence therapy.
Choice D rationale
Playing board games enhances cognition but doesn't specifically target reminiscence, which involves sharing and discussing past experiences.
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