During a home care visit, the patient experiences an angry outburst and hits the nurse on the thigh and yells at her. The patient continues to be threatening. What are the appropriate initial actions by the nurse? (Select all that apply.)
a. Call for a family member who lives down the street.
b. Call law enforcement to take the patient to the hospital.
c. Tie the patient to the bed.
d. Yell at the patient to stop being threaten-ing.
e. Call the nursing agency.
f. Use a calm, quiet voice when talking with the patient.
A, E, F
A nearby family member may be able to calm the patient. Notifying the nurse's employing agency is essential. The agency needs to know the situation and can give some guidance. Using a calm, quiet voice requires the patient to be quieter to hear what the nurse is saying. It also de-notes to the patient that the nurse is not a threat. The other actions are not appropriate yet. More assessment and intervention should be tried first. Restraining the patient without orders is never appropriate.
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