The nurse is assigned to care for a chemically dependent client who has the potential for violent episodes. In planning to care for the client, which of the following actions is the priority? The nurse:
1. Speaks slowly to the client
2. Moves slowly when approaching the client
3. Bargains with the client to prevent the violent episodes
4. Projects an attitude of calmness when caring for the client
4
Rationale: If a client has the potential for episodes of violence, the nurse would avoid bargaining or making promises to the client. Additionally, the nurse should not judge or criticize the client. "Speaks slowly to the client" and "Moves slowly when approaching the client" identify appro-priate nursing actions in the care of the client who has the potential for violence; however, "pro-jects an attitude of calmness when caring for the client" is the priority and encompasses "speaks slowly to the client" and "moves slowly when approaching the client."
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