A client with a potential for violence is exhibiting aggressive gestures, making belligerent comments to the other clients, and is continuously pacing in the hallway. Which of the following comments by the nurse would be therapeutic at this time?
1. "What is causing you to become agitated?"
2. "Why are you intent on upsetting the other clients?"
3. "Please stop so I don't have to put you in seclusion."
4. "You are going to be restrained if you do not change your behavior."
1
Rationale: The appropriate response is to ask the client what is causing the anger. This helps make the client aware of the behavior and may assist the nurse in planning appropriate interven-tions. "Please stop so I don't have to put you in seclusion." and "You are going to be restrained if you do not change your behavior." constitute threats to the client, which are inappropriate. "Why are you intent on upsetting the other clients?" is confrontational and could further escalate the client's behavior.
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