Hesi lpn exit proctored exam
Select All That Apply
A male client who is agitated is gesturing at the television in the day room and talking to an empty chair. Which interventions should the practical nurse (PN) implement? Select all that apply.
Explanation & Rationale
A. Instruct team members to ignore the client's hallucinations: Incorrect; ignoring can increase anxiety; therapeutic acknowledgment is needed. B. Acknowledge that the client's perception is not real to others: Validates feelings without reinforcing hallucinations, helps maintain reality orientation. C. Instruct the client to stop scaring the other clients: Confrontational and non-therapeutic. D. Offer support and reassure the client that he is in a safe place: Reduces anxiety and builds trust. E. Use simple commands in a calm, soothing voice: Helps with comprehension and reduces agitation. F. Restrict the client to his room and apply soft wrist restraints: Only used if there is immediate danger to self/others; not indicated here.
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