The delusional patient has become agitated and angry. The patient reports that the cook put tacks in his cereal. He is pacing back and forth in the crowded dining room and cursing the cook. The best intervention by the nurse would be:
a. keeping distance from the patient, say, "Can we go to the dayroom and talk about this, Carl?"
b. touching the patient's arm, say, "Calm down, Carl. I'm sure we can straighten this out."
c. call experienced CNAs to restrain the pa-tient.
d. standing calmly, say, "This behavior is unacceptable. Sit down and eat, Carl."
A
Allowing the angry patient space is important. Encourage the patient to find a quieter place. Ac-knowledge the anger and demonstrate willingness to help. The agitated patient should not be touched without permission. Restraints are a last resort and will increase the patient's anger and feelings of persecution.
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