Question

A 15 year old male is admitted to the inpatient psychiatric unit after assaulting the assistant principal at his school following a bullying episode. He has been arrested for destruction of public property, possession of marijuana and public drunkenness. He will not cooperate with taking his medications or his treatment plan and threatens to "slap" the nurse. Which intervention does the nurse understand is the highest priority? Identifying expected behaviors and consequences if client is noncompliant ▸ Direct the client to return to his room for a time-out until lunch is served. Calmly state that this behavior is not acceptable and ask the client to sit down in a quiet room. Call for other staff members and physically take the client to the seclusion room.

Answer 1

Since the patient is extremely aggressive and is threatening to slap her,the highest prioyfor the nurse at present is to protect herself.So she should call for other staff members and physically take the client to the seclusion room.

So answer is D.