A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.
A client who has bipolar disorder and is continuously pacing at the end of the hall.
A client who is standing in her room, yelling obscenities and throwing her clothes.
A client in the dayroom who is screaming at other clients about what is on the television.
A client who is repeatedly approaching the nurses' station to request medication for his anxiety.
The Correct Answer is B
Choice A rationale:
While pacing can indicate anxiety, this client is not currently a threat to themselves or others.
Choice B rationale:
This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.
Choice C rationale:
Although this client’s behavior is disruptive, it is not immediately dangerous.
Choice D rationale:
This client’s repeated requests indicate anxiety, but they are not in immediate danger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hypomagnesemia is not a common finding in clients with bulimia nervosa.
Choice B rationale:
Hypokalemia is a common finding due to purging behaviors, such as self-induced vomiting or misuse of laxatives, which can lead to loss of potassium.
Choice C rationale:
Muscle wasting is more commonly associated with anorexia nervosa, not bulimia nervosa.
Choice D rationale:
Lanugo, or fine body hair, is also more commonly associated with anorexia nervosa, not bulimia nervosa.
Correct Answer is A
Explanation
Choice A rationale:
Re-engaging the child in an appropriate activity is a good example of the redirection technique.
Choice B rationale:
Moving closer to the child when they are agitated could escalate the situation rather than calm it.
Choice C rationale:
Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.
Choice D rationale:
Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.
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