A severely agitated patient is pacing, shouting, and clenching both fists. Which nursing approach is most appropriate initially?
Correct answer: B. Use a calm voice and offer two simple choices
- A. Stand very close and maintain prolonged eye contact
- B. Use a calm voice and offer two simple choices
- C. Argue about the patient's inaccurate statements
- D. Crowd the patient with several staff members
Explanation
A calm approach, personal space, reduced stimulation, and limited choices can lower arousal while preserving the patient's sense of control. Arguing, crowding, or prolonged intense eye contact may increase perceived threat and agitation.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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