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ATI RN LEARNING SYSTEM MENTAL HEALTH PRACTICE QUIZ

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ATI RN LEARNING SYSTEM MENTAL HEALTH PRACTICE QUIZ 1 A nurse enters a client's room and observes that the client is agitated and pacing rapidly. The client looks at the nurse and says, "Back off. Leave me alone." Which of the following statements should the nurse make? "I demand that you calm down now. Your behavior is unacceptable." "I will close the door to provide privacy, and you can tell me what is bothering you." "I will give you space if you calm down. Tell me what is causing you to feel so tense." "I will leave you alone for a few minutes while you try to control yourself." - CORRECT ANSWER -"I will give you space if you calm down. Tell me what is causing you to feel so tense." The nurse should stay at a safe distance and remain calm while stressing the importance of maintaining control. The nurse should use verbal de-escalation techniques while determining the client's needs and respecting the client's personal space. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first air, which of the following actions should the nurse take first? Encourage the client to discuss feelings about his self-injurious behavior during group therapy. Fill out an incident report for risk management about the client's self-injurious behavior. Document the client's self-injurious behavior in his medical record. Identify the client's feelings that led to the self-injurious behavior. - CORRECT ANSWER Identify the client's feelings that led to the self-injurious behavior.

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