The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Put his behavior on extinction and continue talking with the newly admitted client.

Inform him that the nurse is busy admitting a new client and will talk to him later.

Encourage him to go to the nurse's station and talk with another nurse.

Introduce him to the newly admitted client and ask him to join in the conversation.

Answer and Explanation

The Correct Answer is B

A. Ignoring the client's behavior (putting it on extinction) may escalate the situation, as clients with antisocial behavior often do not respond well to being ignored.

B. Informing him that the nurse is busy and will talk to him later sets clear boundaries while acknowledging his request. It helps manage his behavior without reinforcing negative actions.

C. Encouraging him to talk with another nurse may not address his immediate need for attention and could result in further disruptive behavior.

D. Introducing him to the newly admitted client may not be appropriate as it could disrupt the admission process and potentially intimidate the new client.

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Correct Answer is C

Explanation

A. Increased urination due to IV fluids is common and not immediately concerning.

B. Comfort with an elevated head of bed is typical postoperatively.

C. A tight dressing could indicate swelling or a potential complication such as hematoma, which can compromise the airway and requires immediate assessment.

D. Dizziness upon standing is common and not as urgent as potential airway compromise.

A. The client will be afebrile for 24 hours B. The client will have quit smoking C. The client will report pain less than 3 on a pain scale of 0 to 10. D. The client will remain free of skin breakdown E. The client will maintain oxygen saturation of 96% without supplemental oxygen

Correct Answer is ["A","B","E"]

No explanation

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The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse?

Correct Answer is C

Explanation

Patient Data Exhibits Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

Correct Answer is ["A","B","E"]

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