A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
A.
Engage the panic alarm
B.
Use a face shield with a mask when providing care to the client.
C.
Tell the client, “You seem to be very upset.”
D.
Initiate seclusion protocol.
When interacting with a client who is aggravated, pacing, and speaking loudly, the nurse should:
C. Tell the client, “You seem to be very upset.”
Here’s why this option is appropriate and an explanation for each option:
- A. Engage the panic alarm
Engaging the panic alarm is a reactive measure that should only be done if there is an immediate threat to safety. It is not the first step in addressing a client’s agitation. - B. Use a face shield with a mask when providing care to the client.
Using a face shield and mask is a protective measure but does not address the client’s emotional state or agitation. - C. Tell the client, “You seem to be very upset.”
This approach demonstrates empathy and acknowledgment of the client’s feelings, which can help de-escalate the situation. It shows the nurse is attentive and concerned about the client’s emotional state, which can help build rapport and trust. - D. Initiate seclusion protocol
Initiating seclusion should be a last resort and is only appropriate if the client poses an imminent threat to themselves or others. It is important to first attempt de-escalation techniques before considering more restrictive measures.
In summary, acknowledging the client’s feelings with a statement like “You seem to be very upset” is a key de-escalation strategy and helps in managing the situation effectively.