When a patient's aggression quickly escalates, on which principle should nursing intervention be based?
a. Staff should match their tone of voice and level of intensity to the patient's.
b. When there is no time to de-escalate, immediate use of restraint is necessary.
c. Always ask the patient what will be most helpful to increase his sense of control.
d. Choose the least restrictive measure that will keep the patient and others safe.
D
Regardless of the situation, the fundamental principle underlying all interventions with agitated, escalating, hostile, aggressive, or violent patients is to use the least restrictive measure that will provide for the safety of everyone involved. The other options either should not guide practice or are of secondary importance.
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