Question

1. The nurse has been closely observing a client who has been displaying aggressive behaviors. The...

1. The nurse has been closely observing a client who has been displaying aggressive behaviors. The nurse observes that the behavior displayed by the client is escalating. Which nursing intervention is most helpful to this client at this time? Select all that apply.

Chose from the answer options:

2. Which client behavior indicates to the nurse that the status of a client diagnosed with intensive care unit psychosis is improving?

Chose from the answer options:

1. Increased number of hours slept at one time and is increasingly alert

2.

Appears to be delirious but has stopped trying to pull out the nasogastric tube

3.

Tells his wife, "I do feel better, but why are snakes in the corner of my room?"

4.

Appears anxious whenever approached by staff but relaxes when family is present

1. Initiate confinement measures.

2.

Acknowledge the client's behavior.

3.

Assist the client to an area that is quiet.

4.

Maintain a safe distance from the client.

5.

Allow the client to take control of the situation.

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Answer #1

1.Escalating behaviour of a patient refers to patient exhibiting anger, frustration, tension ,violence,arrogance,agitation, aggression ,change in voice tone ,perspiring,clenched jaws and fist to others

  1. The nursing intervention for the anxious behaviour when staff approaches can be done by an therapeutic conversation and inducing a sense of hope and calmness
  2. The patient appearing delirious can cause a harharm self or  others at any time.

2.Psychosis is a mental condition in which patient behaves very abnormally deviated from the personal thoughts and society

Ans :Allow the client to take control of the situation gives an idea that the payient is improving

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