While working with a client in crisis, the nurse understands which of the following interventions would be a priority.

Identifying previous experiences and coping methods used.

Calling the client’s support systems for additional support.

Decreasing the client’s anxiety.

Ensuring the client’s safety.

Answer and Explanation

The Correct Answer is D

working with a client in crisis, the nurse’s priority intervention should be to ensure the client’s safety. This involves assessing the client’s risk for harm to themselves or others and taking appropriate measures to prevent harm. Once the client’s safety has been ensured, the nurse can then focus on other interventions such as decreasing the client’s anxiety and identifying previous experiences and coping methods used.

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Correct Answer is C

Explanation

In this phase, the nurse takes action to help the client manage their anxiety and prevent a panic attack. By instructing the client to remain seated and oﬀering them the opportunity to use their journal, the nurse is providing a calming and grounding intervention that can help the client regain control of their emotions and remain engaged in the group therapy session.

A. A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order. B. A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion. C. A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit. D. A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.

Correct Answer is B

Explanation

A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.

This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.

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While working with a client in crisis, the nurse understands which of the following interventions would be a priority.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

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