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    Rn Hesi Mental Health Proctored Exam 1

    A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?

    Explanation & Rationale

    A) This response may escalate the situation and increase agitation in the client. B) Remaining calm and present with the client can help to de-escalate the situation and provide support. C) While distraction techniques can sometimes be helpful, in this scenario, it's important for the nurse to initially provide a supportive presence rather than immediately trying to distract the client. D) Ignoring the behavior may make the client feel unheard and escalate their agitation.

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