A patient with severe anxiety suddenly begins running and shouting, "I'm going to explode!" The nurse should:
a. Ask, "I'm not sure what you mean. Give me an example."
b. Chase after the patient, and give instructions to stop running.
c. Capture the patient in a basket-hold to increase feelings of control.
d. Assemble several staff members and state, "We will help you regain control."
ANS: D
The safety needs of the patient and other patients are a priority. The patient is less likely to cause self-harm or hurt others when several staff members take responsibility for providing limits. The explanation given to the patient should be simple and neutral. Simply being told that others can help provide the control that has been lost may be sufficient to help the patient regain control. Running after the patient will increase the patient's anxiety. More than one staff member is needed to provide physical limits if they become necessary. Asking the patient to give an example is futile; a patient in panic processes information poorly.
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