The Nurse Observes a Client's Escalating Anger

question 23

Multiple Choice

The nurse observes a client's escalating anger.The client begins to pace the hall and shouts,"You all better watch out.I'm going to hurt anyone who gets in my way." Which is the priority nursing intervention?

• A)Calmly tell the client,"Staff will help you to control your impulse to hurt others."
• B)Remove other clients from the area and maintain milieu safety.
• C)Gather a show of force by contacting security for assistance.
• D)Calmly tell the client,"You will need to be medicated and secluded."

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Definitions:

Frequency

The rate at which something occurs or is repeated over a particular period of time or in a given sample.

Isometric

Exercise in which muscle tension occurs without a significant change in muscle length.

Muscular Strength

The capacity of a muscle or muscle group to exert force against resistance.

Bedridden

A condition in which a person is unable to leave their bed due to illness, disability, or frailty, requiring assistance for daily activities.