UWorld Mental Health Practice Test 2026 – The All-in-One Guide to Master Your Exam Preparation!

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Which action should the nurse take when an adolescent client with schizophrenia stands up and leaves the room after being greeted?

Follow the client out the room

Ask the client where they are going

Remain silent and allow the client to leave

In this scenario, remaining silent and allowing the client to leave is a suitable option because it respects the adolescent's autonomy while considering their mental health condition. Adolescent clients with schizophrenia may experience heightened anxiety or discomfort in social situations. Trying to engage them immediately after they have left the room could potentially escalate their distress or lead to further withdrawal.

By not imposing any pressure and allowing them the freedom to move, the nurse is acknowledging the client's need for personal space and time, which can be crucial in therapeutic settings. This approach also allows for the opportunity to assess the client’s behavior later, without creating a confrontational interaction.

The other choices, while potentially well-intentioned, may not be appropriate given the context. Following the client could be perceived as intrusive and may lead to the client feeling cornered or overwhelmed. Asking the client where they are going may also create additional pressure or anxiety, making them less likely to engage positively. Calling the client back in a loud voice runs the risk of being perceived as aggressive or threatening, which would likely alienate the client further. In mental health care, promoting a safe and welcoming atmosphere is crucial for effective treatment, and allowing the client the space to navigate their feelings can be an essential part of that process.

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Call the client back in a loud voice

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