Registered Practical Nurse (RPN) Practice Test

What action should a nurse take if a client's behavior indicates a risk of aggressive actions at the mental health unit?

1. Restrain the client immediately

2. Remove other clients from the area

3. Verbally de-escalate the situation

4. Notify security personnel

The correct answer is: Verbally de-escalate the situation

Choosing to verbally de-escalate the situation is an appropriate action in a mental health setting where a client exhibits behaviors that may indicate a risk of aggression. Verbal de-escalation techniques involve using calm and non-threatening communication to help the client feel understood and reduce their agitation. This approach fosters a therapeutic relationship and encourages cooperation, often leading to more positive outcomes without the need for physical intervention or escalation of the situation. By engaging in conversation and actively listening to the client's concerns, the nurse can help to alleviate the underlying emotions contributing to the aggressive behavior. In many cases, patients may respond positively to a calming presence, which can mitigate the potential for aggression and create a more stable environment for both the client and staff. Removing other clients from the area and notifying security personnel might be necessary in specific situations but should generally follow an assessment of the immediate risk and an attempt at de-escalation. Restraining the client is typically seen as a last resort and is not aligned with the best practices for managing behavioral crises in mental health settings. The emphasis should always be on safety and communication rather than immediate physical interventions unless absolutely necessary.