Prior to intervening with an adolescent projecting anger on the nurse, the nurse should:
1. Encourage the adolescent to engage in reflection.
2. Engage in introspection to examine how he/she reacts to others when they are angry.
3. Organize the rapid response team due to the aggressive action.
4. Enlist an adolescent peer to intervene with the adolescent.
2
Rationale: Before responding to the adolescent, the nurse must be aware of how he/she reacts to others when they are angry. At this point the adolescent is projecting anger and is not aggressive; therefore, it is not necessary to notify the rapid response team. It would not be appropriate for the nurse to ask another peer to intervene. Encouraging the adolescent to reflect is an appropriate interaction to attempt after the adolescent has "cooled down" and is ready to process the event.
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