A patient has a history of impulsively acting out anger by striking others. Which would be an appropriate plan for avoiding such incidents?
a. Explain that restraint and seclusion will be used if violence occurs.
b. Help the patient identify incidents that trigger impulsive acting out.
c. Offer one-on-one supervision to help the patient maintain control.
d. Give the patient lorazepam (Ativan) every 4 hours to reduce anxiety.
ANS: B
Identifying trigger incidents allows the patient and nurse to plan interventions to reduce irritation and frustration that lead to acting out anger and to put more adaptive coping strategies eventually into practice.
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