A nurse on a mental health unit is caring for a newly admitted client.
The nurse is continuing to care for the client. Which of the following actions should the nurse take?(Select All that Apply.)
Gently place a hand on the client's arm during conversation.
Employ active listening skills when communicating with the client.
Administer an anxiolytic medication to the client.
Explain the expected behavioral limits to the client.
Assist the client to identify the source of anger.
Correct Answer : B,C,D,E
A. Gently place a hand on the client's arm during conversation
Avoid touching an anxious or potentially aggressive client-may escalate agitation.
B. Employ active listening skills
Validates feelings and promotes therapeutic communication.
C. Administer an anxiolytic medication
Client is showing signs of withdrawal and agitation-medication may be indicated.
D. Explain behavioral limits
Setting limits provides structure and promotes safety.
E. Assist in identifying source of anger
Supports emotional processing and de-escalation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "When my baby is born, they can receive Medicaid as well."
Medicaid covers pregnant individuals and their infants for a period after birth, depending on income and state policy.
B. "Medicaid benefits are the same for everyone in the United States."
Incorrect. Medicaid is administered at the state level, and benefits vary.
C. "My income level does not impact whether or not I can receive Medicaid."
Medicaid eligibility is income-based.
D. "Medicaid is a federal-run health insurance program."
Medicaid is funded by both federal and state governments, but administered by individual states.
Correct Answer is D
Explanation
A. Appreciate other cultures
Refers more to cultural knowledge, not awareness.
B. Critique of power imbalances
This aligns with cultural humility, not awareness.
C. Recognition of racial/ethnic differences
More closely aligned with cultural sensitivity.
D. Knowledge of one’s own beliefs about diversity
Correct—cultural awareness starts with self-assessment of bias and values.
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