Which intervention by the nurse is most therapeutic when a patient loses a pool game on the unit and begins acting aggressively?
a. Having the other unit staff present to demonstrate both a unified presence as well as a show of force
b. Saying to the patient, "Accompany me to your room so we can talk about what triggered your anger.".
c. Stating, "The rules here are for everyone. If you cannot control your temper, you may need to leave the dayroom.".
d. Setting limits on the behavior immediately, in front of other patients, to help communicate that the unit rules apply to everyone
B
It is important to communicate to the patient in a way that helps the patient view the inappropriate behavior from others' viewpoints, to observe the catalysts that trigger the behavior, and to view adaptive alternatives. Confrontation can escalate aggression on the unit and is nontherapeutic in that it can promote a regressive struggle between the nurse and the patient.
You might also like to view...
A nurse is planning to administer an immunization to a child. Which of the following factors would be a medical contraindication for the administration of immunizations?
a. Religious beliefs b. Sore throat c. Leukemia d. Fear of side effects
The nurse is preparing to care for a client with hypertonic labor. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and in-tensity
The priority nursing intervention in caring for the client is to: 1. Provide pain relief measures. 2. Promote ambulation every 30 minutes. 3. Prepare the client for an amniotomy. 4. Monitor the oxytocin (Pitocin) infusion closely.
One of the first nursing tools to measure quality assurance was
1. American Nurses Association Standards of Practice 2. Joint Commission of Accreditation of Hospitals Nursing Audit Criteria 3. Community Health Nursing Practice Standards 4. Phaneuf Nursing Audit
The nurse is caring for a laboring patient who is scheduled for an epidural block. What action prior to the epidural placement would decrease the chance of maternal hypotension?
1. Monitor maternal vital signs. 2. Administer oxygen at 5 L per minute. 3. Reposition the patient every hour. 4. Infuse an IV bolus of 500–1000 mL of normal saline.