hard · NCLEX-RN Psychosocial Integrity

A client on a psychiatric unit is becoming increasingly agitated and verbally aggressive toward others. Which de-escalation techniques should the RN implement first? Select all that apply.

  1. Offer the client a 'time-out' in a quiet area or their own room.
  2. Immediately apply bilateral wrist restraints to prevent injury to others.
  3. Maintain a calm, low-pitched voice and use clear, simple sentences.
  4. Ensure that adequate staff are nearby and visible to the client.
  5. Stand directly in front of the client with arms crossed to demonstrate authority.

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