A nurse experiences potential danger from a patient who is highly suspicious and fears being harmed. Which behaviors by the nurse will help alleviate the threat of violence? (Select all that apply.)
a. Stand in the doorway of the room.
b. Maintain an open position with the hands in view.
c. Occasionally touch the patient gently on the forearm.
d. Turn away from the patient to demonstrate lack of fear.
e. Speak in a quiet, controlled voice.
ANS: B, E
Maintaining an open position with the hands in view suggests that the patient can trust the nurse not to have a weapon in his or her pocket. Speaking in a quiet, controlled voice is important, because it reduces the patient's anxiety. Never block the doorway. The patient may cause harm when attempting to flee. Maintain a distance of 5 feet from the patient and never attempt to touch the patient without his or her permission. Never turn away from a potentially violent patient. Maintain observation at all times.
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