Texas Board of Nursing (BON) Practice Exam

Question: 1 / 400

What should a nurse do if they encounter a patient with a high level of distress?

Ignore the situation and document the findings

Assess the situation and provide support

A nurse encountering a patient in a high level of distress should prioritize assessing the situation and providing support. This approach is vital because it ensures that immediate and appropriate care is delivered to the patient. Assessing the patient's condition allows the nurse to identify the causes of distress, which could range from physical pain to emotional turmoil. By providing support, the nurse not only addresses the immediate needs of the patient but also helps to establish a therapeutic relationship, fostering trust and encouraging the patient to communicate their feelings and concerns.

The role of the nurse is to advocate for the patient's needs and to intervene when a patient shows signs of distress, which may include anxiety, pain, or confusion. Providing support can involve employing calming techniques, offering reassurance, or collaborating with other healthcare team members to address the underlying issues causing distress.

This response aligns with nursing best practices and ethical standards, emphasizing the importance of holistic patient care. It reflects the responsibility nurses have in promoting patient well-being and safety, underscoring the necessity of immediate action in crisis situations.

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Immediately call security to manage the patient

Report to a family member before taking action

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