Practice Question
A nurse in a mental health facility is caring for a client who becomes upset and breaks a chair when a visitor does not arrive. The client remains agitated following initial verbal attempts to calm him down. Which of the following interventions should the nurse implement first?
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Correct Answer:
Offer the client an antianxiety medication.
Rationale:
🔴 When verbal de-escalation fails and the client remains agitated but not yet violent, the next least restrictive and therapeutic intervention is to administer a prescribed antianxiety (anxiolytic) medication.
🔴 Medications such as lorazepam or diazepam can reduce escalating agitation and help prevent the situation from progressing to aggression or violence.
🔴 This action respects the client's autonomy while also protecting safety and avoiding the need for more restrictive measures like seclusion or restraints, which are used only when less invasive methods fail.
🔴 Offering medication also reinforces a collaborative approach to managing emotional dysregulation, a common challenge in mental health settings.
🔴 According to the continuum of behavioral intervention, medication is an appropriate intermediate step before physical interventions.
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This question is from LPN Custom Mental Health which contains 43 questions.
More Questions from This Exam
As part of the plan of care for a client with borderline personality disorder, the nurse reviews the day's schedule with him each morning. While doing so, the client states. "Why don't you shut up already! I can read it myself, you know!" Which of the following is an appropriate nursing response?
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A nurse in a mental health facility is caring for a client who becomes upset and breaks a chair when a visitor does not arrive. The client remains agitated following initial verbal attempts to calm him down. Which of the following interventions should the nurse implement first?
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4