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Practice Question

A client has been placed in seclusion because the client has been deemed a danger to others. Which is the priority nursing intervention for this client on seclusion?

Answer Choices:

Correct Answer:

Maintain contact with the client and assure the client that seclusion is a way to maintain safety

Rationale:


🎀Maintaining contact with the client is essential in seclusion to ensure that the client feels safe and supported.

🎀It also helps in monitoring the client's behavior and emotional state.

🎀Assuring the client that seclusion is for safety is important to help the client understand why the measure is being taken and reduce feelings of isolation or punishment.

🎀Having no contact with the client would increase feelings of abandonment and may escalate distress or aggression.

🎀Teaching relaxation techniques and providing privacy are important, but the priority in this situation is to ensure safety and provide reassurance while the client is in seclusion.

Want to practice more questions like this?

This question is from Exam 1 Mental Health Nursing which contains 50 questions.

More Questions from This Exam
A client diagnosed with schizophrenia is experiencing anhedonia. Which nursing diagnosis addresses the client's problemthat this symptom may generate?

Answer Choices:

A. Disturbed sensory perception
B. Risk for suicide
C. Impaired verbal communication
D. Self-care deficit
A client diagnosed with schizophrenia is seen in the mental health clinic complaining of insects infesting arms and legs. Which intervention should the nurse implement first?

Answer Choices:

A. Check the body for lice
B. Present reality regarding somatic delusions
C. Advise for in-patient hospitalization for psychosis
D. Explain the origin of persecutory delusions
A client has been involuntarily committed to a psychiatric unit. During the delivery of the evening dinner trays, the client escapes from the unit and the hospital. Which nursing intervention is appropriate in this situation?

Answer Choices:

A. Notify the client's physician, document the incident, and review elopement precautions
B. Send staff out to return the client back to the facility
C. Document that the client has been discharged from the hospital
D. Notify the client's emergency contact and the local news channel of the missing client
A client is brought to the emergency department after being found wandering the streets and talking to unseen others. Which situation is further evidence of a diagnosis of schizophrenia for this client? 

Answer Choices:

A. The client exhibits a developmental disorder, such as autism
B. The client has a medical condition that could contribute to the symptoms
C. The client has come to the emergency department for substance abuse issues before
D. The client has been displaying signs and symptoms for 6 months
From Exam
Exam 1 Mental Health Nursing

50 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Mental Health
  • Answer Choices: 4
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