Question

A nurse is caring for a client who has become aggressive and potentially violent. What should the nurse do to ensure the safety of the client and others?

1) Call for assistance from other staff members
2) Remove any potential weapons or objects that could be used as weapons
3) Maintain a safe distance from the client
4) Use verbal de-escalation techniques to calm the client

Answer 1

To ensure the safety of a client who has become aggressive and potentially violent, a nurse should call for assistance, remove potential weapons, maintain a safe distance, and use verbal de-escalation techniques.

Step-by-step explanation:

When caring for a client who has become aggressive and potentially violent, a nurse should take several actions to ensure the safety of the client and others:

1. Call for assistance from other staff members: This is important to have additional support and resources to manage the situation.
2. Remove any potential weapons or objects that could be used as weapons: By eliminating access to weapons, the risk of harm to anyone involved can be reduced.
3. Maintain a safe distance from the client: Keeping a safe distance is essential to minimize the chance of physical harm.
4. Use verbal de-escalation techniques to calm the client: The nurse should use calm and non-confrontational language, showing understanding and empathy to de-escalate the situation.