Mental Health NCLEX | Nurselytic

Questions 24

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Mental Health NCLEX Questions

Extract:


Question 1 of 5

The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The client’s spouse barges into the client’s ED room with a gun and states “I’m going to kill you and anyone else who gets in my way.” Which action should be taken by the nurse initially?

Correct Answer: D

Rationale: Using a nonaggressive posture and tone (
D) to request the gun be placed down de-escalates the situation safely. Yelling (
A) may startle and escalate assuming intent (
B) blocks communication and gesturing (
C) risks escalation if noticed.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The client’s spouse barges into the client’s ED room with a gun and states “I’m going to kill you and anyone else who gets in my way.” Which action should be taken by the nurse initially?
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