Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5036

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5036

QUESTION: Which nursing action is best when trying to diffuse a client's impending violent behavior?

✓O a.) Helping the client identify and express feelings of anxiety and anger
✘O b.) Involving the client in a quiet activity to divert attention
✘O c.) Leaving the client alone until the client can talk about feelings
✘O d.) Placing the client in seclusion

RATIONALE

RATIONALE: In many instances, the nurse can diffuse impending violence by helping the client identify and express feelings of anger and anxiety. Such statements as "What happened to get you this angry?" may help the client verbalize feelings rather than act on them. Close interaction with the client in a quiet activity may place the nurse at risk for injury should the client suddenly become violent. An agitated and potentially violent client shouldn't be left alone or unsupervised because the danger of the client acting out is too great. The client should be placed in seclusion only if other interventions fail or the client requests this. Unlocked seclusion can be helpful for some clients because it reduces environmental stimulation and provides a feeling of security.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge