The nurse is caring for a patient with acute anxiety. What ...

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The nurse is caring for a patient with acute anxiety. What interventions are most beneficial for preventing escalation of anxiety to aggression? Select all that apply.
 
  1. Provide needed food and drink.
  2. Assist the patient without delay.
  3. Show a calm, positive, friendly demeanor.
  4. Express sympathy and concern for the patient.
  5. Decrease environmental stimuli.

Question 2

A nurse educator is teaching a group of staff nurses on environmental risk factors that may lead to violence in the psychiatric setting. Which response by the staff nurse demonstrates that teaching has been effective?
 
  1. I will maintain the established patient routines.
  2. I will carefully manage patient transitions of care.
  3. I will allow visitors in the patient's room as permitted.
  4. I will assist the patient to maintain self-care.

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Answer to Question 1

Answer: 1, 2, 3, 5
Explanation: Interventions that are most beneficial for the prevention of aggression in a patient who is experiencing anxiety include assisting the patient without delay, providing needed food and drink, showing a calm and positive demeanor, and decreasing environmental stimuli. The nurse should express compassion, not sympathy, when caring for this patient.

Answer to Question 2

Answer: 3
Explanation: Environmental risk factors in the psychiatric setting include restrictions that infringe on individual freedoms, such as restricting visitors, locking doors, and taking away belongings (such as razors, electrical items, belts, and personal communication devices) to maintain safety. The other choices are appropriate nursing interventions; however, these pertain to unit-based routines and processes, not environmental risk factors.

[Metfan725]

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