A client with paranoid schizophrenia has said she feels like throwing a chair. The nurse in the dayroom hears this and wishes to encourage verbalization as a deescalation technique. Which re-sponse by the nurse would fulfill this plan?
1. "Tell me what's going on."
2. "If you throw something, you will be restrained."
3. "Why are you so upset?"
4. "It's time for group therapy. You can talk there."
ANS: 1
Using how, what, and when to gather information is a nonthreatening approach. It will promote client verbalization and explanation of events without causing the client to become defensive. 2. This response sounds threatening even though it may be meant to remind the client of limits. 3. Why questions are demanding and threatening to clients. 4. This sidesteps the problem. Clients who are becoming aggressive should have nonstimulating environments with as few people pre-sent as possible. Sending the client into group therapy flouts that principle.
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