A client is agitated, using profanity, and verbally threatening other clients. Based on these be-haviors, the nurse should initially plan to:
1. Speak to the physician about reevaluating the client's medications
2. Initiate verbal intervention and take the client to his or her room
3. Secure enough staff members to place the client in seclusion
4. Speak with the other clients about their feelings
ANS: 2
An immediate intervention is warranted, but the intervention used must be the least restrictive alternative. Seclusion is not warranted unless verbal intervention has been attempted and has failed. Option 1 is not an immediate intervention. Option 3 is not the least restrictive alternative. Option 4 does not deal with the client whose behavior is escalating.
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