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    Ati pn mental health proctored exam

    A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?

    Explanation & Rationale

    A. Bring a security guard whenever approaching the client: Involving security unnecessarily can escalate tension and reinforce hostile behavior. Safety is important, but this intervention should be reserved for situations where the client poses an immediate physical threat. B. Use a calm, clear tone when speaking to the client: Maintaining a calm, clear, and neutral tone helps de-escalate hostility and reduces the likelihood of verbal or physical aggression. Clear communication also sets boundaries while promoting a therapeutic environment for clients with schizophrenia. C. Encourage the client to participate in a board game: While engaging in structured activities can be beneficial for socialization and distraction, this intervention does not directly address the immediate hostile outbursts or prevent escalation. It is more of a supportive measure than a priority intervention. D. Touch the client on the shoulder to console them: Physical touch can be misinterpreted by clients with schizophrenia, potentially triggering anxiety, agitation, or further hostility. Nonverbal boundaries should be maintained unless the client explicitly consents to touch in a therapeutic context.

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