Mental Health NCLEX PN Questions | Nurselytic

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Question 1 of 5

The nurse observes that the client diagnosed with intermittent explosive disorder is becoming aggressive and that lorazepam was prescribed. The client is now exhibiting a tense posture a clenched fist and a defiant affect. Prioritize the nurse’s actions to de-escalate the client’s aggression.

Order the Items

Source Container

Call other staff for assistance.
Attempt to talk the client down.
Apply wrist restraints.
Offer client choice of taking medication voluntarily.
Provide alternate use of physical energy such as suggesting punching a pillow.

Correct Answer: B ,E ,D ,A, C

Rationale: Talk down (
B) builds trust offering physical outlets (E) releases tension medication choice (
D) calms staff assistance (
A) ensures safety and restraints (
C) are last resort for harm prevention.

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 nurse observes that the client diagnosed with intermittent explosive disorder is becoming aggressive and that lorazepam was prescribed. The client is now exhibiting a tense posture a clenched fist and a defiant affect. Prioritize the nurse’s actions to de-escalate the client’s aggression.

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