A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:

a. "Please quiet down.".
b. "Hey, what's up?"
c. "You seem upset. Tell me about it.".
d. "You need to go to your room to get control of yourself.".


C
Intervention should begin with analysis of the patient and the situation. With this response, the nurse is attempting to hear the patient's feelings and concerns. This leads to the next step of planning an intervention. Telling the patient he needs to quiet down or go to his room is controlling and does not seek to understand or de-escalate the patient's behavior. Such an approach is likely to close off communication instead of facilitating it. "Hey, what's up?" is a broad opening but is vague and would be difficult for a person at a high level of anxiety to process.

Nursing

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