Which of the following would the psychiatric nurse assess as a ...

[clippers!]

Which of the following would the psychiatric nurse assess as a behavioral crisis? A client is
 
  a. found crying hysterically after receiving a phone call from her boyfriend.
  b. noted curled up in a corner of the bathroom with a towel wrapped around her
  head.
  c. performing push-ups in the middle of the hall, forcing everyone to walk around
  him.
  d. waving his fists and shouting threats at a nurse who offered him prn medication.

Question 2

During the first interview with a restless young man, the nurse notices that he does not make eye
  contact throughout most of the interview. The nurse can correctly assume that
 
  a. he is not to be trusted in what he says because he is evasive.
  b. he is feeling sad and cannot look the nurse in the eye.
  c. he is shy and the nurse must move slowly.
  d. more information is needed to draw a conclusion.

[honnalora]

Answer to Question 1

ANS: D
This behavior constitutes a behavioral crisis because the client is threatening harm to another
individual. Intervention is called for to defuse the situation. The other options speak of behaviors
that may require intervention of a less urgent nature because the clients in question are not
threatening harm to self or others.

Answer to Question 2

ANS: D
The data presented are insufficient to draw a conclusion. The nurse must continue to gather
information.

[clippers!]

Gracias!

TYSM