Practice Question
The nurse is assessing an inpatient client with a known history of violence. The client suddenly displays clenched fists. What additional behavior by the client would suggest that the aggression is escalating? The client:
Answer Choices:
Correct Answer:
is pacing around the milieu.
Rationale:
🔶 Pacing is a behavioral cue that suggests agitation and escalating aggression, especially when combined with clenched fists.
🔶 It is a sign of rising internal tension, and the nurse must act to de-escalate before aggression escalates to violence.
🔶 Recognizing early signs allows for timely intervention and safety measures.
🔶 Clients with a history of violence require close observation for nonverbal aggression markers.
🔶 Intervening during this stage may prevent entry into the crisis phase of aggression.
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This question is from RN ATI Mental Health(Cohort 2)-N200 Exam which contains 65 questions.
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Answer Choices:
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Answer Choices:
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Answer Choices:
A. Restating.
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Answer Choices:
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4
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