Which situation would involve the highest risk for violence?
a. A nurse is about to set limits on a patient.
b. Shift change and report are about to begin.
c. A PRN medication is to be offered.
d. The patient is a young adult male.
A
Setting limits is the situation associated with the highest incidence of violent behavior. Shift change can also be a concern because there can be more confusion (as staff come and go) and fewer staff available in the milieu; however, this does not involve the degree of risk associated with limit setting. PRN medications can be offered for many reasons other than escalation and not be associated with significantly higher degrees of risk. Young adult males are statistically more prone to violence, but this does not mean that most such persons will be violent or that the risk of violence is significantly increased when the patient is a young male.
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