The nurse is providing care to a patient in the emergency department. Which finding would alert the nurse to the need to assess the patient’s anxiety to reduce risk for aggressive behavior?
a. Pacing
b. Pain
c. Nausea
d. Pressured speech
a. Pacing
Pacing is a nonverbal warning sign that the patient’s anxiety is increasing and may escalate without intervention. Although pain may initiate anxiety, especially if untreated, it is not in itself a risk factor for aggressive behavior. Nausea is not a risk factor for aggressive behavior. Pressured speech may indicate the presence of schizophrenia or another psychiatric disorder, but it is not a risk factor for aggressive behavior.
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