A nurse in a mental health facility is caring for a client who is being aggressive toward other clients.
Which of the following actions is the priority for the nurse to take?

Role model healthy ways to express anger.

Assist the client to explore techniques to reduce stress.

Suggest the client make a list of things that make him angry.

Ask the client if he intends to harm others.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

While role modeling healthy ways to express anger is important, it is not the priority when a client is being aggressive toward others. Safety is the primary concern.

Choice B rationale:

Assisting the client to explore techniques to reduce stress is a helpful intervention but is not the priority when the client is actively being aggressive toward others.

Choice C rationale:

Suggesting the client make a list of things that make him angry is a therapeutic intervention, but it is not the priority when the client's behavior poses an immediate threat to others.

Choice D rationale:

Asking the client if he intends to harm others is the priority because it assesses the immediate risk to the safety of others. This information is crucial for determining the appropriate interventions to ensure the safety of everyone in the facility. Depending on the client's response, the nurse can take further steps to manage the aggressive behavior. Safety is the top priority in such situations. .

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Correct Answer is B

Explanation

Choice B rationale:

Confidentiality is a fundamental principle in debriefing sessions, and reassuring staff members that the debriefing is confidential helps create a safe environment where they can openly discuss their experiences. This choice sets the foundation for open communication and trust among the participants.

Choice A rationale:

Asking staff members to describe their most traumatic memories of the event as the first intervention may not be the best approach. This could be overwhelming and trigger emotional distress in participants. It's essential to start the debriefing with a more general and supportive approach.

Choice C rationale:

Having staff members discuss their involvement in the event is important, but it's better suited for a later stage of the debriefing process. The initial focus should be on creating a safe and confidential environment for participants to express their feelings.

Choice D rationale:

Providing stress-management exercises to the staff members is a valuable intervention but should be introduced after the initial stage of creating a safe and supportive atmosphere. It's essential to address the emotional needs and concerns of the participants before moving on to stress-management techniques. .

A. Obtain consent from the client's family member. B. Inform the client that they have the legal right to refuse treatment at any time. C. Request another nurse to review the procedure with the client. D. Encourage the client to have the procedure.

Correct Answer is B

Explanation

Choice A rationale:

Obtaining consent from the client's family member is not the appropriate action in this scenario. The client has the right to make decisions about their own medical treatment, and the consent should come from the client themselves, not a family member.

Choice B rationale:

Informing the client that they have the legal right to refuse treatment at any time is the correct action. Informed consent is a fundamental principle of medical ethics, and the nurse should respect the client's autonomy and right to make decisions about their own healthcare.

Choice C rationale:

Requesting another nurse to review the procedure with the client may be helpful in providing additional information and support, but it does not address the client's right to refuse treatment. The primary responsibility is to ensure that the client is aware of their right to refuse.

Choice D rationale:

Encouraging the client to have the procedure goes against the principle of respecting the client's autonomy and right to make their own decisions about their healthcare. The nurse should not pressure the client into having the procedure.

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A nurse in a mental health facility is caring for a client who is being aggressive toward other clients.Which of the following actions is the priority for the nurse to take?

Nursing Test Bank

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A nurse in a mental health facility is caring for a client who is being aggressive toward other clients.
Which of the following actions is the priority for the nurse to take?