Practice Question
An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?
Answer Choices:
Correct Answer:
Apply restraints.
Rationale:
💠 When a client becomes physically aggressive and poses an immediate risk of harm to staff or others, the priority is safety.
💠 Restraints are appropriate as a last-resort intervention when less restrictive measures, such as verbal de-escalation or oral medication, are ineffective or not feasible in the acute situation.
💠 The use of restraints must follow facility policy and legal guidelines, including obtaining a provider’s order, ensuring continuous monitoring, and using the least restrictive type necessary.
💠 This intervention protects both the client and healthcare staff until the client regains control or medication can be administered safely.
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This question is from ATI LPN Mental Health Chapter 25-29 Quiz which contains 24 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4