A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?

Remain 15 cm (6 in) away from the client

Use a raised voice when speaking to the chem

Determine the cause of the client's feelings

Ask the client short close-ended question

Answer and Explanation

The Correct Answer is C

A. Remain 15 cm (6 in) away from the client: Maintaining a safe physical distance is important to ensure the safety of both the client and the staff member. However, the specific distance may vary depending on the situation and the client's level of agitation. It's essential to maintain a safe distance while still engaging with the client in a supportive manner.

B. Use a raised voice when speaking to the client: Using a raised voice can escalate the situation further and may increase the client's agitation or aggression. It's important to speak calmly and softly to avoid escalating the situation.

C. Determine the cause of the client's feelings: Understanding the underlying reasons for the client's aggression can help the nurse address the root cause and implement appropriate interventions. It's important to listen actively to the client, validate their feelings, and demonstrate empathy.

D. Ask the client short close-ended questions: Close-ended questions typically elicit simple "yes" or "no" responses and may not encourage open communication or help the client express their feelings. Instead, it's more beneficial to ask open-ended questions that allow the client to express themselves and feel heard.

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Correct Answer is B

Explanation

A. Paranoid personality disorder: Individuals with paranoid personality disorder tend to be distrustful, suspicious, and perceive others as malevolent or intending harm. They may exhibit hypervigilance and have difficulty confiding in others.

B. Histrionic personality disorder: Histrionic personality disorder is characterized by excessive emotionality and attention-seeking behavior. Individuals with this disorder may engage in seductive or provocative behavior to gain attention and may display shallow or rapidly shifting emotions.

C. Narcissistic personality disorder: Narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy for others. Individuals with this disorder often have an inflated sense of self-importance and may exploit others to achieve their own goals.

D. Antisocial personality disorder: Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, a lack of empathy or remorse, and a pattern of irresponsible and often criminal behavior. While individuals with antisocial personality disorder may engage in manipulative behaviors, they do so for personal gain rather than seeking attention or admiration.

A. The client has a serotonin deficiency B. The client has acute bronchitis C. The client has an elevated calcium level D. The client is an only child

Correct Answer is A

Explanation

A. The client has a serotonin deficiency

This choice suggests a biological risk factor for major depressive disorder (MDD). Serotonin is a neurotransmitter associated with mood regulation, and alterations in its levels or function can contribute to the development of depressive symptoms. A deficiency in serotonin is considered a significant biological risk factor for MDD.

B. The client has acute bronchitis

Acute bronchitis, an inflammation of the bronchial tubes typically caused by viral infections, is not directly associated with major depressive disorder. While physical health issues can impact mental health and exacerbate depressive symptoms, acute bronchitis is not a recognized risk factor for MDD.

C. The client has an elevated calcium level

Elevated calcium levels are not typically considered a risk factor for major depressive disorder. While imbalances in electrolytes like calcium can have physiological effects on the body, they are not directly linked to the development of depression.

D. The client is an only child

Being an only child is a demographic characteristic and is not considered a direct risk factor for major depressive disorder. While family dynamics and relationships can influence mental health, being an only child alone is not causally related to the development of depression.

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A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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