A male client with a history of violence directed toward others has become very excited and agitated during the nurse's interview. Which intervention should the nurse implement to foster therapeutic communication?
1. Call the security staff for assistance.
2. Ask the client if he will use self-control.
3. Lean forward and touch the client's arm.
4. Assume an open, nonthreatening posture.
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4. The nurse uses neutralizing skills and assumes an open, nonthreatening posture conveying respect and acceptance while helping to create an atmosphere where the client can communicate without feeling threatened or defensive. Depending on the extent of this nurse-client relationship, the client can be posturing as they get to know one another; however, before entering the room in the future, the nurse should plan for personal safety by keeping the door open and letting others know that the nurse is with the potentially violent client.
1. Calling security in the client's presence is likely to aggravate the client and escalate the potential for violence because it is humiliating, conveys the nurse's rejection of the client, and threatens to take all control away from the client.
2. Asking the client if he will use self-control is reprimanding the client, humiliating, and conveys rejection and lack of respect by the nurse.
3. The client can perceive leaning and touching as threatening.
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