A nurse enters the room of a male patient who exhibits suspicious behavior.
The patient yells, “Stay away from my closet!” What is the most appropriate action for the nurse to take?
Inspect the patient’s closet when the patient is engaged in an activity away from the unit
Ask the patient why the contents of the closet are so important to him
Inform the patient that the staff will need to examine the contents of the closet due to his behavior
Avoid approaching the closet
The Correct Answer is D
When a patient exhibits suspicious behavior and specifically warns the nurse to stay away from a particular area, such as a closet, the most appropriate action is to avoid approaching the closet. This approach respects the patient’s personal space and can help de-escalate potential agitation or aggression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Schizophrenia can develop at any age, but it most commonly begins in adolescence or early adulthood.
Choice B rationale
Judgment and insight are typically significantly impaired in individuals with schizophrenia, not mildly impaired.
Choice C rationale
Hospitalization can be common for individuals with schizophrenia, particularly during acute episodes or when medication adjustments are needed.
Choice D rationale
While antipsychotics are a common treatment for schizophrenia, it would be an oversimplification to say they are the best treatment. Treatment plans are individualized and may include a combination of medication, therapy, and support services.
Correct Answer is A
Explanation
Choice A rationale
Rejecting is a non-therapeutic communication technique where the nurse refuses to discuss certain topics with the patient. In this case, the nurse telling the patient not to talk about her history of childhood sexual abuse is an example of rejecting. This approach can make the patient feel unheard or invalidated, which can hinder the therapeutic relationship and impede the patient’s healing process.
Choice B rationale
Providing inadequate responses is another non-therapeutic communication technique. It involves giving vague or insufficient responses to the patient’s concerns or questions. However, in this scenario, the nurse is not providing an inadequate response but rather refusing to engage in the conversation altogether, which is more aligned with rejecting.
Choice C rationale
Being judgmental is a non-therapeutic communication technique where the nurse makes negative judgments or evaluations about the patient. In this scenario, the nurse is not making any judgments about the patient or her experiences. Instead, the nurse is avoiding the topic, which is indicative of rejecting.
Choice D rationale
Failing to probe is a non-therapeutic communication technique that involves not seeking further information from the patient, thereby missing important details. While the nurse in this scenario is not seeking more information about the patient’s history, the behavior is more accurately described as rejecting because the nurse is actively discouraging the patient from discussing her experiences.
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