Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Psychology

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You are caring for a patient who has been displaying aggressive behavior. You observe that his behavior seems to be escalating. Which intervention by the nurse would be least helpful to this patient?
  1. Acknowledge the patient’s behavior.
  2. Maintain a safe distance from the patient.
  3. Assist the patient to a quiet environment.
  4. Initiate confinement measures.
Explanation
Answer: D - Initiating confinement measures would be least helpful to this patient. The patient is moving toward loss of control. During this phase the nurse want to take control, maintain a safe distance, acknowledge the patient’s behavior, move the patient to a quiet area and medicate if necessary. Initiating confinement would be appropriate during the crisis period.
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