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:
It’s not appropriate to pressure the client into seeing visitors.
Choice B rationale:
It’s important to respect the client’s wishes and communicate them to the sibling.
Choice C rationale:
This could potentially cause distress for the client.
Choice D rationale:
While it might be helpful to involve the provider, the immediate issue can be addressed by the nurse.
Correct Answer is C
Explanation
Choice A rationale:
Psychodrama is a therapeutic approach that uses dramatic role play to help clients gain insight into their feelings and behaviors. However, it may not be the most effective for a client with antisocial personality disorder and alcohol dependency.
Choice B rationale:
Crisis intervention is a short-term therapy to stabilize a client during an acute crisis. It may not address the long-term needs of a client with antisocial personality disorder and alcohol dependency.
Choice C rationale:
Dual diagnosis treatment is designed for clients who have a mental health disorder and a substance use disorder. This would be the most appropriate for a client with antisocial personality disorder and alcohol dependency.
Choice D rationale:
Codependency support groups are typically for family members and friends of individuals with substance use disorders. They may not be the most beneficial for the client themselves.
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