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Extract:

A male client's behavior begins to escalate into aggressive behavior.


Question 1 of 5

The nurse is caring for clients on the psychiatric unit. Suddenly, a male client's behavior begins to escalate into aggressive behavior. It would be MOST important for the nurse to take which of the following actions?

Correct Answer: D

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) nurse can be helpful in using psychological/communication strategies before utilizing seclusion (2) leaving the client alone can become potentially dangerous to the client and the property (3) encouraging the client to become involved in a quiet activity might further escalate his frustration and anger because the ability to focus and concentrate is diminished due to an elevated anxiety level (4) correct-as client's anger begins to escalate, nurse can be helpful in using psychological/communication strategies before utilizing seclusion

Extract:


Question 2 of 5

Included in teaching the client with tuberculosis taking isoniazid (INH) about follow-up home care, the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical?

Correct Answer: A

Rationale: Liver function. INH can cause hepatocellular injury and hepatitis. This side effect is age-related and can be detected with regular assessment of liver enzymes, which are released into the blood from damaged liver cells.

Question 3 of 5

What is the most important consideration when teaching parents how to reduce risks in the home?

Correct Answer: D

Rationale: Age of children in the home. Safety measures must be tailored to the developmental stage of the children.

Question 4 of 5

A two year-old child is brought to the provider's office with a chief complaint of mild diarrhea for two days. Nutritional counseling by the nurse should include which statement?

Correct Answer: B

Rationale: Current recommendations for mild to moderate diarrhea are to maintain a normal diet with fluids to rehydrate.

Question 5 of 5

A young adult patient constantly seeks attention from the nurses, stomping away from the nurses’ station and pouting when her requests are refused.

Correct Answer: B

Rationale: Rewarding non-attention-seeking behaviors with unsolicited attention reinforces positive behavior. Ignoring the patient or rotating staff does not address the behavior constructively, and assigning one staff member reduces consistency in approach.

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