A client is becoming increasingly agitated, anxious, and tense.
The nurse notes a clenched jaw and a change in the pitch of the client's voice.
Which of the following interventions should the nurse implement first?.

Obtain a prescription for haloperidol.

Take the client to the seclusion room.

Verbally de-escalate the client.

Place the client in restraints.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Obtaining a prescription for haloperidol is not the first intervention the nurse should implement. Medication should be considered only after non-pharmacological interventions have been attempted.

Choice B rationale:

Taking the client to the seclusion room is not the first intervention the nurse should implement. Seclusion should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

Choice C rationale:

Verbally de-escalating the client is the first intervention the nurse should implement. This involves using calm, clear communication to help the client regain control of their emotions.

Choice D rationale:

Placing the client in restraints is not the first intervention the nurse should implement. Restraints should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. People with bulimia nervosa often consume large amounts of food in a short period of time, known as binge eating.

Choice B rationale:

This statement is correct. Despite the binge-purge cycle, individuals with bulimia nervosa can maintain an average or ideal body weight, making the disorder less noticeable.

Choice C rationale:

This statement is incorrect. While self-induced vomiting is a common method of purging in bulimia nervosa, other methods such as excessive exercise, fasting, or misuse of laxatives, diuretics, or enemas can also be used.

Choice D rationale:

This statement is incorrect. While bulimia nervosa can lead to various health complications, it is not directly associated with the development of diabetes mellitus.

A. Preoccupation with details. B. Manipulative behaviors. C. Splitting. D. Impulsiveness. E. Lack of empathy.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale:

Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.

Choice B rationale:

Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.

Choice C rationale:

Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.

Choice D rationale:

Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.

Choice E rationale:

Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.

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A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?.

Correct Answer is B

Explanation

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Correct Answer is ["B","C","D","E"]

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A client is becoming increasingly agitated, anxious, and tense.
The nurse notes a clenched jaw and a change in the pitch of the client's voice.
Which of the following interventions should the nurse implement first?.