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What will be an ideal response?
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A client with paranoid schizophrenia is experiencing visual hallucinations of people jumping out of nowhere. The client keeps striking the wall
Repeated attempts by the nurse to orient the client to reality and reassure the client of safety have failed. What would be the nurse's next de-escalation approach? 1. Offer the client a PRN medication 2. Apply soft limb restraints on client's wrists 3. Have several staff demobilize the client so that forcible injection can be administered 4. Call security to assist in placing the client in seclusion
A 35-year-old client is stressed because he is having problems with his superiors at work. The client says that he had an argument about his salary. He has become very anxious and has started consuming large amounts of caffeine very frequently
He also suffers from insomnia and gets angry quickly. Which of the following techniques should the nurse promote to help the client? A) Nontherapeutic coping strategy B) Negative coping strategy C) Therapeutic coping strategy D) Sensory manipulation strategy
The RN who is the team leader gives assignments to all the team members. The decision is based on:
A) The number of staff willing to work B) The age and desires of the team members C) The RN needing to take orders and write client outcomes D) The condition and needs of each client
What is the best action for the nurse to implement to effectively listen therapeutically to a patient?
a. Concentrate on the patient and not think of responses to the patient while he or she is speaking. b. Determine the cause of the patient's prob-lem while the patient is speaking. c. Ask the patient why he thinks he feels the way he does. d. Tell the patient that you have had similar experiences.