Practice Question
A nurse on a mental health unit is caring for a client in the day room who is becoming increasingly agitated. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Speak to the client in a low, calm voice.
Rationale:
🗣️ De-escalation first: The priority in managing agitation is to use the least restrictive intervention, beginning with calm, therapeutic communication.
🗣️ Tone matters: A low, calm voice reduces environmental stimulation and helps prevent escalation into aggression or violence.
🗣️ Safety promotion: This approach maintains client dignity while protecting others, giving the client an opportunity to regain self-control.
🗣️ Progressive interventions: If verbal de-escalation fails, the nurse may progress to setting clear limits, offering a quiet space, or involving security. Restraints are only used as a last resort when all other measures have failed and safety is at risk.
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This question is from PN ATI Capstone Proctored Post-Assessment which contains 75 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: ♻PN Capstone Exams
- Answer Choices: 4