Practice Quiz

NCLEX-RN

Category - Psychosocial

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A nurse is closely monitoring a client who is placed in seclusion. The nurse determines that discontinuing the seclusion is safe when the client states that:
  1. “I am hungry.”
  2. “I need to stay in my own room to calm down.”
  3. “I need some fresh air. I can’t breathe.”
  4. “I am no longer a threat to others or myself.”
Explanation
Answer: D - Stating that he is no longer a threat to others or to himself indicates that the client has calmed down. Option A is a physical need that can be addressed in the seclusion room. Option C necessitates further evaluation. Option B does not indicate that the client has already calmed down.
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