NCLEX-RN

NCLEX-RN Test Bank

NCLEX-RN Mental Health Questions

Extract:

Question 1 of 5

When a client is about to lose control, the extra staff commonly stay at a distance from the client unless asked to move closer by the nurse who is talking to the client. Which of the following best explains the primary rationale for staying at a distance initially?

A. The client is more likely to act out if there is an audience, even additional staff. B. The nurse talking to the client makes the decisions about other staff actions. C. The client is likely to perceive others as being closer than they are and feel threatened. D. When the extra staff is visible, the client is less likely to regain self-control.

Correct Answer: C

Rationale: Staying at a distance prevents the client from feeling threatened, as they may perceive others as closer in a heightened state of agitation, reducing the risk of escalation. The other options are less directly related to the client's perception of threat.

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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