The limit-setting technique most likely to precipitate violence ...

[K@]

The limit-setting technique most likely to precipitate violence when intervening with an angry client
  is
 
  a. Your behavior is unacceptable..
  b. Go to your room for a time out..
  c. I can see you are angry. Let's talk..
  d. You are pretty upset just now..

Question 2

The most appropriate response by the nurse when a despondent client says nothing matters
  anymore would be
 
  a. Are you having thoughts of suicide?
  b. I am not sure I understand what you are trying to say..
  c. Try to stay hopeful. Things have a way of working out..
  d. Tell me more about the things that interested you before you began to feel
  depressed..

[coyin]

Answer to Question 1

A
A belittling remark is most likely to escalate anger and precipitate violence because it threatens
client self-respect. Option B sets limits by offering a solution without providing options. Because it
is simple, direct, and does not threaten, clients often comply without becoming increasingly
aggressive. Option C, which uses affect and an option (talk), is not likely to cause escalation. Option
D uses affect without offering the client an option and is a type of remark well tolerated by most
angry clients. It usually leads to discussion of client feelings.

Answer to Question 2

A
The nurse must make overt what is covert, that is, the possibility of suicide must be openly
addressed. The client often feels relieved to be able to talk about suicidal ideation.