NCLEX-PN
NCLEX Question of The Day Questions
Extract:
Question 1 of 5
The schizophrenic client tells you that they are "Jesus"? and "there to save the world"?. They are reading from the Bible and warning others of hell and damnation. The whole unit is getting upset and several are beginning to cry. What should the nurse do at this time?
Correct Answer: A
Rationale: In this situation, the most appropriate action for the nurse to take is to set limits with the client and redirect them to their room. The client's behavior is disruptive and causing distress among others in the unit. Sending the client to their room allows them to cool down and prevents further agitation among other patients. Removing the client from the current environment can help de-escalate the situation. Asking the client to share how they know they are "Jesus"? (
Choice
D) may further agitate the situation and is not the immediate priority. Explaining to the client that not all people are Christians (
Choice
B) may not effectively address the disruptive behavior. Removing the Bible from the client (
Choice
C) without addressing the underlying issue may escalate the situation further.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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