NCLEX PN Practice Test Practice Question
A young adult is admitted to the psychiatric unit because she has become very withdrawn and has stopped attending college classes. She sits for hours rocking back and forth and appears to be talking to someone at intervals. She does not eat or bathe or relate to others. How should the nurse approach this client upon admission?
Correct Answer: C
Rationale: Approaching the client with a brief explanation of essential information and then sitting with her fosters a sense of safety and connection, which is crucial for someone in a withdrawn state. This approach respects her current emotional state while providing necessary information without overwhelming her.
Option A may be too detailed and can overwhelm the client, who is already struggling with communication and engagement. Option B, while inviting questions, may not provide the reassurance she needs and might lead to further withdrawal. Option D, taking her by the hand, could feel invasive and may increase her anxiety, as she may not be ready for physical contact or direct orientation.
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