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NCLEX-RN · Question #158
NCLEX-RN Question #158: Real Exam Question with Answer & Explanation
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Question
A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self-mutilation. A few hours after admission, she requests special privileges, and when these are notgranted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room. The nurse should respond to this behavior by:
Options
- APlacing her in seclusion until the behavior is under control
- BWalking up to the client and touching her on the arm to get her attention
- CCommunicating a desire to assist the client to regain control, offering a one-to-one session in a
- DConfronting the client, letting her know the consequences for getting angry and disrupting the unit
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