A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?
An adult client is confined with physical restraints after throwing chairs at other clients and staff.
An adolescent is taken to a secure, quiet room after threatening and lashing-out at other clients and staff.
An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session.
An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them.
The Correct Answer is C
A. An adult client is confined with physical restraints after throwing chairs at other clients and staff. Physical restraints are highly restrictive and should be used as a last resort when safety is at risk.
B. An adolescent is taken to a secure, quiet room after threatening and lashing out at other clients and staff. Seclusion is restrictive but less so than physical restraints; however, other interventions should be attempted first.
C. An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session. This is the least restrictive intervention, as it involves verbal redirection rather than confinement or medication.
D. An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them. Medication can be restrictive when used for behavior control rather than for medical necessity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.
B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.
C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).
D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.
Correct Answer is B
Explanation
A. Not being chosen for a sports team: While disappointing, this is not considered an ACE because it does not involve abuse, neglect, or household dysfunction.
B. Experiencing physical abuse from a family member: Physical abuse is a recognized ACE, as it can lead to long-term psychological and physical health consequences.
C. Being teased by classmates : Bullying is harmful but is not classified as an ACE unless it involves severe abuse or trauma within the home.
D. Getting a low grade on a test: Poor academic performance is not considered an ACE unless it results from neglect, abuse, or extreme household dysfunction.
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.