Question

A client on a mental health unit becomes increasing agitated and barricades themself in a corner room holding another client hostage. Verbal exchanges indicate an escalation in client desperation. Which nursing actions would be taken at this time?

Answer 1

donot engage any negative energy with this patient find an explanation for the hostage situation and gradually find away to get the patient to release the other client being held against their will . please don't agitate the situation any longer and be sure to call for help

Answer 2

Hello. You forgot to enter the answer options. The options are:

"A. Identify one nurse to interact with the client B. Pull the fire alarm to obtain help quickly C. Direct other clients away from the area D. Speak to the client in an authoritarian manner E. Discreetly notify security to assist F. Identify with the client's position and reason for agitation"

Answer:

A. Identify one nurse to interact with the client

C. Direct other clients away from the area

E. Discreetly notify security to assist

F. Identify with the client's position and reason for agitation

Step-by-step explanation:

First, the nursing team must remain calm and understand that the client is in a situation of stress and possibly mental exhaustion, for this reason, the nursing team must act quickly and maintain the integrity of everyone.

Ideally, first, only one nurse should be chosen to interact with the client, as a tumultuous environment can increase stress. For this reason it is also important to remove other patients from the area, preventing them from getting hurt.

The nurse chosen to interact with the patient must ask what he is feeling, to understand the situation, what is bothering him and the patient and think of a better strategy on how to solve this problem.

The rest of the nursing staff should call the security team to assist, if necessary.