A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Ignore the incident since it is an attention-seeking behavior.
Stay with the group and ask another client to go and check on the situation.
Follow the client to determine the cause of the behavior.
Ask the group what they think about the client's behavior.
The Correct Answer is C
A. Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm.
B. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients.
C. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior.
D. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
B. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders.
C. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders.
D. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
Correct Answer is D
Explanation
A. Secure with self: Abusers are often insecure and may have low self-esteem. They may project a false sense of confidence but are not truly secure with themselves.
B. Blames self for own problems: Abusers typically blame others for their problems and take little responsibility for their actions.
C. Control of emotions: Abusers often have poor control of their emotions, leading to aggressive and violent behaviors.
D. History of substance abuse: Substance abuse is commonly found in the history of abusers. It can exacerbate abusive behavior and reduce impulse control.
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