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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Hyperthyroidism generally affects metabolism and does not typically cause dysphagia.
B. Arthraiga refers to joint pain and is not directly associated with dysphagia.
C. Mutiple sclerosis: This is correct. Multiple sclerosis is a neurological condition that can cause muscle weakness, coordination issues, and difficulty swallowing, all of which are factors in dysphagia.
D. Crohn's disease primarily affects the gastrointestinal tract and does not typically cause dysphagia.
Correct Answer is A
Explanation
A. Spaghetti with meat sauce, cantaloupe, green beans, and a glass of milk This meal represents a balanced MyPlate meal by including grains (spaghetti), protein (meat sauce), fruits (cantaloupe), vegetables (green beans), and dairy (milk).
B. Chicken with cream sauce, and milk This meal lacks variety and does not include fruits, vegetables, or grains, making it less balanced.
C. Chicken, mashed potatoes This meal lacks fruits and vegetables, and does not include a dairy component.
D. Chicken with cream sauce, asparagus, and a glass of milk This meal lacks a grain component.
E. Chicken, mashed potatoes, coleslaw, brown rice, tomato slices, and a glass of milk While balanced, this meal is more complex and not typical of the simpler MyPlate guideline.
F. Shrimp curry, white rice, and a glass of milk This meal is missing fruits and vegetables.
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