Author Question: A nurse experiences potential danger from a patient who is highly suspicious and fears being harmed. ... (Read 58 times)

serike · **on:** Jul 17, 2018

A nurse experiences potential danger from a patient who is highly suspicious and fears being harmed. Which behaviors by the nurse will help alleviate the threat of violence? (Select all that apply.)

a. Stand in the doorway of the room.
b. Maintain an open position with the hands in view.
c. Occasionally touch the patient gently on the forearm.
d. Turn away from the patient to demonstrate lack of fear.
e. Speak in a quiet, controlled voice.

Question 2

A nurse is appointed to a workplace committee to plan changes in the emergency department. The committee's task is to make recommendations that will provide an environment that deters violence.

Which recommendations are consistent with this goal? (Select all that apply.)

a. Install bullet-resistant glass in the nurses' station.
b. Install security alarm devices in examining rooms.
c. Institute a limited toleration of violence policy.
d. Develop a minimum safe staffing policy.
e. Change security officers' uniforms to shirt, tie, blazer, slacks.

epscape · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: B, E
Maintaining an open position with the hands in view suggests that the patient can trust the nurse not to have a weapon in his or her pocket. Speaking in a quiet, controlled voice is important, because it reduces the patient's anxiety. Never block the doorway. The patient may cause harm when attempting to flee. Maintain a distance of 5 feet from the patient and never attempt to touch the patient without his or her permission. Never turn away from a potentially violent patient. Maintain observation at all times.

Answer to Question 2

ANS: A, B, D, E
Development of a minimum safe staffing policy and installation of bullet-resistant glass and security alarm devices are part of the OSHA National Guidelines for Deterring Violence. Surveys indicate that officers better convey authority when they wear a customer friendly uniform of jacket and tie. OSHA recommends a no toleration of violence policy.