A patient attending an aggression management group therapy session disrupts the meeting repeatedly by interrupting the discussion. An appropriate response from the nurse would be:
a. "It sounds as if your thoughts are troubling you. This may not be a good time for you to be meeting with us. I suggest you take a brief time-out.".
b. "What's happening with you right now? How can you control the effect this may have on your ability to stay calm and focused on our group goals?"
c. "Can you remember what we talked about in the assertiveness training group yesterday? What do you need to do to regain control of your behavior?"
d. "Do any of you want to share your feelings about what is happening? If not, I'll assume no one is particularly distressed by the disruptive behavior.".
A
The most therapeutic nursing intervention is the one that excuses the patient from the group to protect the patient from being embarrassed once control is regained. In addition, the time-out may provide a reduction in milieu stimulation and provide needed structure and control. In assessing the potential for violent behavior, the nurse measures the patient's mental status as well as is possible. A patient who is unable to control talking out loud is not a good participant in a group meeting, whether the behavior is one of manipulation or a sign of potential aggression and disintegration.
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