A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?
An adult client is confined with physical restraints after throwing chairs at other clients and staff.
An adolescent is taken to a secure, quiet room after threatening and lashing-out at other clients and staff.
An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session.
An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them.
The Correct Answer is C
A. An adult client is confined with physical restraints after throwing chairs at other clients and staff. Physical restraints are highly restrictive and should be used as a last resort when safety is at risk.
B. An adolescent is taken to a secure, quiet room after threatening and lashing out at other clients and staff. Seclusion is restrictive but less so than physical restraints; however, other interventions should be attempted first.
C. An 8-year-old child is asked to return to their room after yelling at other children during a group therapy session. This is the least restrictive intervention, as it involves verbal redirection rather than confinement or medication.
D. An adult client is given clozapine, an antipsychotic medication, after punching a wall with their fist and telling everyone that they intend to hurt them. Medication can be restrictive when used for behavior control rather than for medical necessity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Taking on extra shifts to compensate for staffing issues. Overworking increases stress and exhaustion, contributing to burnout rather than preventing it. Nurses need adequate rest to provide quality care.
B. Neglecting to seek support from colleagues and supervisors. Avoiding support leads to isolation and increased emotional distress. Seeking help from colleagues, supervisors, or mental health professionals is crucial in managing stress.
C. Maintaining a balanced diet and regular exercise. Proper nutrition, physical activity, and self-care help nurses maintain physical and mental well-being, reducing burnout risk.
D. Avoiding self-care activities to focus solely on work. Self-care is essential for long-term resilience in nursing. Ignoring personal well-being to prioritize work leads to exhaustion and decreased job satisfaction.
Correct Answer is A
Explanation
A. Social worker: Social workers specialize in finding housing, connecting clients to resources, and advocating for their needs.
B. Psychologist: Psychologists provide therapy and mental health assessments but do not arrange housing.
C. Behavioral therapist: Behavioral therapists focus on therapy for behavior modification rather than social needs like housing.
D. Psychiatrist: Psychiatrists diagnose and treat mental health conditions with therapy and medications, not housing assistance.
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