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A nurse is caring for a client who has a personality disorder. Based on the provided information, what behavior might indicate escalating agitation and potential harm to self or others?

a) Restlessness and pacing
b) Anxious behavior when left alone
c) Engaging in conversation with nursing staff
d) Staring at staff members with fists clenched

User Alexvassel
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Final answer:

Behavior indicating escalating agitation in a client with a personality disorder includes staring at staff members with fists clenched. This non-verbal cue suggests an increase in tension and the potential for aggressive action.

Step-by-step explanation:

The behavior that might indicate escalating agitation and potential harm to self or others in a client with a personality disorder is d) Staring at staff members with fists clenched. This non-verbal cue suggests increasing tension and the potential for aggressive action. Restlessness and pacing can be signs of anxiety or agitation, but they do not necessarily predict harm to self or others. Anxious behavior when left alone is more indicative of separation anxiety or fear and does not directly suggest a risk of harm. Engaging in conversation with nursing staff is generally a positive behavior that does not suggest a risk of escalated agitation.

Furthermore, it is important to consider the context and the specific type of personality disorder, as different disorders have varying patterns of behavior and aggression. Care should be taken to monitor such cues in conjunction with other signs and symptoms to make a proper evaluation of the risk.

User Relrin
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