A house supervisor is addressing a client in the ER (emergency ...

[ETearle]

A house supervisor is addressing a client in the ER (emergency room) who has been aggressive. Which of the following techniques would be applicable in addressing an aggressive client? Select all that apply.
 
  1. When addressing the client, present powerful body language.
  2. Remain calm and speak in a modest tone.
  3. Approach the client with an aggressive, Im in charge attitude.
  4. Speak in simple terms and allow the client to speak.
  5. Use insightful questions when addressing the clients issues.
  6. Control the conversation.

Question 2

A medical surgical nurse is caring for a client admitted during the night from ER (emergency room) with a diagnosis of alcohol intoxication.
 
  The nurse has just admitted the client to the room and is unable to obtain much history due to the clients lethargic state. Which of the following would be an appropriate action by the nurse? 1. Approach the client with caution when obtaining vital signs and shift assessments.
  2. Place the client in a room farthest from the nurses station as not to disturb other clients.
  3. Place the client in four-point restraints as a protective measure.
  4. Perform neurovascular assessments every 2 hours to determine level of consciousness.

[huda]

Answer to Question 1

2, 4, 5
Explanation: 1. Verbal intervention strategies when dealing with aggressive individuals: remain calm, isolate
the individual, watch your body language, keep it simple, use reflective questioning, embrace
silence, and maintain moderation in speech.
Refer to Box 22-2.

Answer to Question 2

1
Explanation: 1. Alcohol withdrawal clients may lash out in violence. Placing the client farthest away from the
nurses station may cause added liability to the organization due to the clients lethargic state
and potential for harm if not closely monitored. Placing the client in four-point restraints and
performing assessments every 2 hours may contribute to increased aggression by the client.