Rn Mental Health Online Practice 2023 A Study Guide Questions And Correct Answers

A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? Call the provider to obtain an immediate prescription for restraint. Prepare to administer benzodiazepine IM. Call for a team of staff members to help with the situation. Check the client who was hit for injuries. {Ans: Call for a team of staff members to help with the situation. The greatest risk is injury to the client and others. Therefore, the first action the nurse should take is to call for assistance to prevent further injury to themselves or others.}A nurse is caring for a client who has personality disorder. The nurse is caring for the client. Which of the following actions should the nurse take? {Ans: Document the client's condition every 30 min is *incorrect.* The nurse should document the client's condition every 15 min while the client is in restraints. Maintain continuous observation of the client while in restraints is *correct*. The nurse should ensure a staff member remains with the client continuously while the client is in restraints. Remove two restraints at a time as the client regains control