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 C
Explanation
A. Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior.
B. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence.
C. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis.
D. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.
Correct Answer is A
Explanation
A. Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia.
B. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections.
C. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal.
D. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.
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.