Practice Quiz

NCLEX-RN Exam Practice

Category - Psychology

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You are caring for a patient who is becoming more aggressive. He is pacing and agitated. His speech is becoming rapid and his affect belligerent. What should the nurse’s first priority be?
  1. Provide safety for the patient and other patients on the unit.
  2. Offer the patient a less stimulated area to calm down and gain control.
  3. Provide the patients on the unit with a sense of comfort and safety.
  4. Assist the staff in caring for the patient in controlled environment.
Explanation
Answer: A - Safety to the patient and other patients on the unit should be the nurse’s first priority. The patient is showing behavior that is escalating and most likely will hurt himself or some one else if the staff does not step in immediately. Use Maslow’s hierarchy of needs to prioritize which is the most immediate priority.
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