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 A
Explanation
Choice A rationale:
Acknowledging an inability to control drinking is the first step in many recovery models, including the 12-step program of Alcoholics Anonymous. This step involves admitting that alcohol has taken over one’s life.
Choice B rationale:
Agreeing to a prescription for an alcohol use deterrent can be a part of the recovery process, but it is not typically the first step.
Choice C rationale:
Incorporating a form of spirituality into daily life can be a part of the recovery process for some individuals, but it is not typically the first step.
Choice D rationale:
Forming a close support network is crucial in the recovery process, but it comes after acknowledging the problem.
Correct Answer is B
Explanation
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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