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 A rationale:

Having several siblings is not a direct contributing factor to the development of conduct disorder. Conduct disorder is more associated with behavioral and social factors, not family size.

Choice B rationale:

The presence of the client's father in the home is an important factor in family dynamics that can contribute to the development of conduct disorder. This is because the involvement and presence of parents, especially fathers, play a significant role in a child's emotional and behavioral development. The absence of a father figure or an unstable family environment can increase the risk of conduct disorder.

Choice C rationale:

The fact that the client's mother has asthma is not directly related to the development of conduct disorder. Asthma is a physical health condition and is not typically associated with conduct disorder unless it affects the family's dynamics in a significant way.

Choice D rationale:

Being the oldest sibling is not necessarily a contributing factor for the development of conduct disorder. Conduct disorder is primarily associated with behavior and environmental factors, not birth order.

A. A client who has bipolar disorder and is speaking loudly. B. A client who has schizophrenia and is experiencing olfactory hallucinations. C. A client who is taking clozapine and reports a sore throat. D. A client who is taking lithium and reports weight gain.

Correct Answer is C

Explanation

Choice A rationale:

A client with bipolar disorder who is speaking loudly is displaying a manic symptom, which may require attention but is not the highest priority among the options. It does not pose an immediate risk to the client's physical health.

Choice B rationale:

A client with schizophrenia experiencing olfactory hallucinations may be distressed, but this is not an immediate physical health concern. It may require attention but is not the highest priority.

Choice D rationale:

Weight gain is a potential side effect of lithium, and while it should be monitored and addressed, it is not a critical finding that requires immediate attention.

Choice C rationale:

A client taking clozapine who reports a sore throat should be seen first. Clozapine is associated with a risk of agranulocytosis, a severe condition that can lead to a dangerously low white blood cell count. A sore throat can be an early sign of infection, and in the context of clozapine use, it is crucial to assess and monitor for agranulocytosis promptly. This condition is life-threatening and requires immediate attention to prevent complications. .

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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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?