medium · NCLEX-RN psychosocial
A client on the inpatient unit, Riley, age 34, is pacing rapidly with clenched fists and shouting at other clients.
Which nursing intervention is the safest immediate response to prevent escalation to violence?
- Approach the client immediately and place a hand on their shoulder to offer comfort.
- Ask the client 'Why are you acting so aggressively toward people who want to help you?'
- Maintain a clear path to the exit for the staff and the client while speaking in a calm, low voice.
- Gather several staff members to stand closely around the client to demonstrate a 'show of force.'
Sign up free to see the explanation and track your rank →
More NCLEX-RN psychosocial practice
- Which action should the nurse take first?
- Which nursing action is the highest priority?
- I won't ever try that again.” Which action by the nurse demonstrates the best understandin
- What is the most appropriate nursing response?
- Which medication in the client's history likely contributed to this condition when combine
- Which laboratory result would require the nurse to hold the medication and notify the prov
- Which medication should the nurse be prepared to administer?
- The nurse in the outpatient clinic assesses a client who recently lost a child in a motor