As the nurse approaches a client in the psychiatric unit who is pacing steadily in the hall. The client makes an angry face, clenches a fist, and yells, Leave me alone What should the nurse do next?
A) Put a soothing hand on the client's shoulder and ask him to come and sit down to talk.
B) Move away quickly while telling the client that his voice is too loud.
C) Tell the client he is not allowed to yell at nurses on the unit.
D) Do not show fear, but move away slowly.
Question 2
A nurse assesses that a client with a history of violent outbursts is growing increasingly agitated and is pacing steadily up and down the hall. What should the nurse do first?
A) Leave the client alone to continue to pace.
B) Call the client by name, walk with him, and ask him to tell you what he is feeling and thinking.
C) Call for backup and give the client an IM injection to calm him down.
D) Tell the client to stop pacing because it is frightening others on the unit.
The nurse conducts the health history as the first step in the nursing assessment
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