What is the best nursing rationale for holding a debriefing ...

[biggirl4568]

What is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst?
 
  A. To reinforce unit rules with the client population
  B. To create protocols for the future release of tensions associated with anger
  C. To process feelings and concerns related to the witnessed intervention
  D. To discuss the client problems that led to inappropriate expressions of anger

Question 2

An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression?
 
  A. The client requests prn medications.
  B. The client has a tense facial expression and body language.
  C. The client refuses to eat lunch.
  D. The client sits in group therapy with back to peers.

[Loise Hard]

Answer to Question 1

C
The nurse should determine that the purpose for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst is to process feelings and concerns related to the witnessed intervention.

Answer to Question 2

B
The nurse should assess that tense facial expressions and body language may indicate that a client's anger is escalating. The nurse should conduct a thorough assessment of the client's past and current violent behaviors and develop interventions for de-escalation.