A nurse in an acute care mental health facility is sitting with a group of clients in a meeting room. A client suddenly jumps up and begins yelling angrily. Which of the following actions should the nurse take to ensure environmental safety?

Give the client more than one choice for resolving the conflict.

Move toward the client using an aggressive stance.

Choose two staff members to represent the staff and speak to the client.

Stand between the client and the doorway of the room.

Answer and Explanation

The Correct Answer is D

A. Give the client more than one choice for resolving the conflict. While providing choices can be beneficial in some situations, it is not a direct action to ensure immediate environmental safety when a client is escalating aggressively.
B. Move toward the client using an aggressive stance. This approach is inappropriate and can escalate the situation further. A calm and non-threatening demeanor is essential in managing an aggressive client.
C. Choose two staff members to represent the staff and speak to the client. Having multiple staff members engage with an agitated client can sometimes help, but it’s crucial that any interaction is done calmly and without escalating the situation.
D. Stand between the client and the doorway of the room. This is the most appropriate action to ensure safety. Positioning yourself between the client and the exit can prevent the client from leaving the room and potentially harming themselves or others while ensuring a safe space to de-escalate.

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Correct Answer is A

Explanation

A. The state's nurse practice acts:This is correct. State nurse practice acts provide legal guidelines and scope of practice for nurses within that state.
B. The American Nurses Association: While the ANA offers valuable resources and guidelines, it does not provide legal scope of practice specific to each state.
C. The facility's job descriptions :Facility job descriptions can outline specific roles and responsibilities but are not the legal source for scope of practice.
D. The Joint Commission's legal department: The Joint Commission sets accreditation standards but does not provide legal scope of practice guidelines for individual nurses.

A. Squeeze the handles of extinguisher. B. Pull out the safety pin of the extinguisher. C. Sweep extinguisher from side to side at the base of fire. D. Aim the extinguisher at the base of fire.

Correct Answer is B

Explanation

A. Squeeze the handles of extinguisher. This is done after aiming at the base of the fire and pulling the pin.
B. Pull out the safety pin of the extinguisher. This is the first step to unlock the extinguisher for use.
C. Sweep extinguisher from side to side at the base of fire. This is done after aiming and squeezing the handles.
D. Aim the extinguisher at the base of fire. This is the second step, after pulling the pin.

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A nurse in an acute care mental health facility is sitting with a group of clients in a meeting room. A client suddenly jumps up and begins yelling angrily. Which of the following actions should the nurse take to ensure environmental safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a newly licensed nurse about the guidelines for legal scope of practice. For reference, which of the following sources should the nurse consult?

Correct Answer is A

Explanation

A nurse manager is conducting an in-service on environmental safety and responding to fires for a group of nurses. Which of the following actions should the nurse manager identify as the first step in using a fire extinguisher?

Correct Answer is B

Explanation

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