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. Increased body temperature: Alcohol consumption typically causes vasodilation, which can lead to a decrease in body temperature, not an increase.
B. Cardiac dysrhythmias: Large amounts of alcohol can affect the heart's electrical system, leading to cardiac dysrhythmias.
C. Hypotension: Alcohol is a vasodilator, which can lead to a drop in blood pressure (hypotension).
D. Bradycardia: Alcohol typically causes tachycardia (increased heart rate), not bradycardia (decreased heart rate).
Correct Answer is D
Explanation
A. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders.
B. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders.
C. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
D. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
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.