hard · NCLEX-RN Management of Care
The RN is caring for a client with a psychiatric diagnosis who is exhibiting increasing agitation and verbal aggression. Which nursing actions are appropriate? Select all that apply.
- Assign the LPN/VN to administer a PRN dose of haloperidol for acute agitation.
- Delegate the one-to-one observation for safety to a trained AP.
- Perform a comprehensive suicide risk assessment using a validated tool.
- Evaluate the client's response to de-escalation techniques used by the staff.
- Direct the AP to decide when the client no longer requires seclusion or restraints.
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