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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A nurse is caring for a client who is agitated and refusing care. What is the nurse's best initial response?
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Tell the client that they do not have a choice and must receive care.
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Administer a prescribed PRN sedative to calm the client down.
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Correct answer Attempt to identify the cause of the client's agitation and address their concerns.
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Call security to assist with restraining the client for safety.
Rationale
The nurse's best initial response to a client who is agitated and refusing care is to attempt to identify the cause of the agitation and address their concerns. This approach respects the client's autonomy and may resolve the situation without the need for further intervention. Calling security, administering sedatives, or telling the client they must receive care are more restrictive and should only be considered after less invasive measures have been attempted and only if necessary for the safety of the client or staff.
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