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A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.

A.

A client who has bipolar disorder and is continuously pacing at the end of the hall.

B.

A client who is standing in her room, yelling obscenities and throwing her clothes.

C.

A client in the dayroom who is screaming at other clients about what is on the television.

D.

A client who is repeatedly approaching the nurses' station to request medication for his anxiety.

Answer and Explanation

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.


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Related Questions

Correct Answer is D

Explanation

Choice A rationale:

Ringing in the ears is not a common side effect of haloperidol.

Choice B rationale:

A metallic taste is not typically associated with haloperidol use.

Choice C rationale:

Urinary incontinence is not a known side effect of haloperidol.

Choice D rationale:

Haloperidol can cause photosensitivity, making the skin more sensitive to the sun.

Correct Answer is B

Explanation

Choice A rationale:

While it’s important to understand the client’s situation, the immediate safety of the baby is the priority.

Choice B rationale:

This response is the priority as it assesses the immediate safety of the baby.

Choice C rationale:

While support is important, the immediate safety of the baby is the priority.

Choice D rationale:

While communication with the partner is important, the immediate safety of the baby is the priority.

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