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 C

Explanation

Choice A rationale:

Planning a menu with the client is a good practice for individuals with eating disorders. However, remaining with the client after meals is crucial to address the immediate concerns related to a binge eating disorder. Binge eating disorder is characterized by consuming large amounts of food in a short period, and the nurse needs to monitor the client for potential complications or behaviors after meals.

Choice B rationale:

Weighing the client every other day is not the most appropriate action for a client with a binge eating disorder. While weight monitoring can be important, it does not directly address the behavioral aspects of the disorder, such as episodes of overeating. It is more critical to provide support and monitoring immediately after meals to prevent or address binge episodes.

Choice D rationale:

Offering snacks when the client is hungry is a generally healthy practice. However, in the context of binge eating disorder, the focus should be on structured meal times and monitoring for potential episodes of overeating. Offering snacks whenever the client is hungry may not be the best approach for managing this specific eating disorder. .

A. "I'll take my medicine at bedtime because it will make me d drowsy.”. B. "I need to tell my doctor if I start gaining weight.”. C. "This medicine will help me relax and feel less anxious.”. D. "I know that I will be able to think more clearly now.”. .

Correct Answer is D

Explanation

Choice A rationale:

"I'll take my medicine at bedtime because it will make me drowsy.”. This statement is not accurate and indicates a misunderstanding of the medication's effects. Methylphenidate, used to treat ADHD, is a stimulant medication and is not expected to cause drowsiness. Taking it at bedtime could interfere with the client's ability to sleep.

Choice B rationale:

"I need to tell my doctor if I start gaining weight.”. While it is important to report changes in weight to the healthcare provider, this statement does not indicate an accurate understanding of the medication's effects. Weight gain is not a typical side effect of methylphenidate, and this statement does not address the medication's primary purpose.

Choice C rationale:

"This medicine will help me relax and feel less anxious.”. This statement is incorrect as methylphenidate is not an anxiolytic medication. It is used to increase focus and reduce hyperactivity in individuals with ADHD. While some clients may experience a sense of calm as a result of improved focus, the primary purpose of the medication is not to reduce anxiety.

Choice D rationale:

"I know that I will be able to think more clearly now.”. This statement reflects an accurate understanding of the medication's effects. Methylphenidate is a central nervous system stimulant that can help individuals with ADHD improve their focus, attention, and cognitive function. Enhanced clarity of thought is one of the intended therapeutic effects of this medication. .

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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

A nurse is caring for a client who has a binge eating disorder.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD.Which of the following statements by the client indicates an accurate understanding of this medication's effects?

Correct Answer is D

Explanation

A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

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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?