An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?
Take a time-out.
Administer oral medication.
Call a family member or friend.
Apply restraints.
The Correct Answer is D
A. Take a time-out: A time-out is generally used for de-escalating situations in less severe cases and may not be effective if the client is already physically aggressive and a risk to staff.
B. Administer oral medication: Administering oral medication can help to calm the client, but it may not be immediately effective if the client is already aggressive and out of control.
C. Call a family member or friend: Calling a family member or friend may provide emotional support, but it is not a direct intervention to address immediate physical aggression.
D. Apply restraints: When a client is physically aggressive and poses a risk of injury to themselves or others, applying restraints may be necessary to ensure safety. This should be done following proper protocols and as a last resort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Disulfiram will prevent my cravings for alcohol." Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol.
B. “One should expect hand tremors to start less than 24 hours after I stop drinking." Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink.
C. "Withdrawal symptoms should last about 5 to 7 days once they begin." Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases.
D. "It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage." While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Correct Answer is D
Explanation
A. Cannabis: While cannabis can alter perception and cause depersonalization, it is less likely to cause violent behavior and flashbacks.
B. Heroin: Heroin is a depressant that typically causes sedation and euphoria, not heightened awareness or violent behavior.
C. Cocaine: Cocaine is a stimulant that can cause heightened awareness but is less associated with depersonalization and flashbacks.
D. Phencyclidine (PCP): PCP is known to cause severe alterations in perception, depersonalization, unpredictable and violent behavior, and flashbacks.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.