When providing care to a client who consistently atempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what?
Instructing the staff to enforce all unit rules consistently.
Encouraging questions and discussing the client's concerns.
Promoting social ostracism of the client exhibiting manipulation.
Scheduling staff one-on-one time with the client.
The Correct Answer is A
Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication affecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can affect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.
Correct Answer is D
Explanation
Choice A reason: Engaging the client in recreational activities may not be suitable during a panic atack as it might not address the immediate need for calm and safety.
Choice B reason: While medication can be helpful, the priority during a panic atack is to provide immediate, non- pharmacological support to ensure safety.
Choice C reason: Offering therapy is beneficial but not the first-line intervention during an acute panic atack where immediate safety and reassurance are needed.
Choice D reason: This is the correct choice. The nurse should remain with the client to provide reassurance, assess their needs, and ensure safety during the panic atack.
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