A nurse manager is providing staff education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).
Avoid wearing necklaces during client care.
Know the layout of the facility.
Stand directly in front of the client while talking.
Bring security with you for all interactions.
Provide Immediate verbal feedback for escalating behavior.
Correct Answer : A,B,E
These are all important measures to take when working with a client with a history of anger and aggression. Avoiding wearing necklaces can help prevent injury in case of an aggressive outburst. Knowing the layout of the facility can help staff quickly and safely respond to any incidents. Providing immediate verbal feedback for escalating behavior can help de-escalate the situation and prevent further aggression
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staff they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.
Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.
Option B shows an understanding of the reason for the use of restraints.
Option Ddemonstrates awareness of the right to vote, which is not affected by mental health status.
Correct Answer is D
Explanation
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
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