A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?
Ask both clients to take a time out in their separate rooms.
Distract the clients by asking them to park.
Send both clients into seclusion.
Physically restrain both clients.
The Correct Answer is B
Choice A rationale
Asking both clients to take a time out in their separate rooms may not be the best first intervention. This approach might not address the root cause of the argument and could potentially escalate the situation if one or both of the residents feel unfairly treated.
Choice B rationale
Distracting the clients by asking them to participate in an activity is the most appropriate first intervention. This approach can help defuse the situation and redirect the residents’ attention away from the argument. It’s a non-confrontational way to de-escalate the situation and can help maintain a peaceful environment in the facility.
Choice C rationale
Sending both clients into seclusion is not an appropriate first intervention. Seclusion should be used as a last resort and only when the residents pose a risk to themselves or others. In this case, the argument does not seem to have escalated to a level that would warrant such a drastic measure.
Choice D rationale
Physically restraining both clients is not an appropriate first intervention. Restraints should only be used as a last resort when there is an immediate risk of harm to the residents or others. In this case, the argument does not seem to have escalated to a level that would warrant physical restraint.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Derealization involves feeling detached or disconnected from one’s surroundings, not changing details of a traumatic event.
Choice B rationale
Hypervigilance involves being overly alert or watchful, especially to potential danger, not changing details of a traumatic event.
Choice C rationale
Dissociative amnesia can involve difficulty remembering important information about a traumatic event, which can lead to inconsistencies in the child’s recollections.
Choice D rationale
Depersonalization involves feeling detached or disconnected from oneself, not changing details of a traumatic event.
Correct Answer is A
Explanation
Choice A rationale
Limited access to primary care providers is a significant disadvantage related to health insurance for clients who live in rural communities. Rural areas often have fewer healthcare providers, which can make it difficult for residents to receive the care they need. This can lead to delays in care, unmet health needs, and worsening of existing health conditions.
Choice B rationale
While the availability of managed care insurance can vary by location, this is not a disadvantage specific to rural communities. Both urban and rural areas can have limited availability of certain types of health insurance.
Choice C rationale
Financial risk that is typical of underinsured clients is not specific to rural communities. Both urban and rural residents can be underinsured, which can lead to significant out-of-pocket costs and financial strain.
Choice D rationale
Lack of government-provided health insurance is not a disadvantage specific to rural communities. Government-provided health insurance programs, such as Medicare and Medicaid, are available to eligible individuals regardless of whether they live in an urban or rural area.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.