A home health practical nurse (PN) arrives at a residence for a scheduled visit. Upon entering, the PN encounters the client's adult child pacing aggressively in the living room, shouting profanities, and clenching their fists due to a sudden financial emergency. Which immediate actions should the PN take? (Select all that apply.)
- Position themselves to ensure a direct, unblocked route to the front door.Answer
- Speak to the individual using brief, clear, and neutral statements.Answer
- Stand with a relaxed posture and keep hands open and visible.Answer
- DEncourage the individual to rationally discuss the financial emergency step-by-step.
- ETell the individual that financial problems always have a way of working themselves out.
Answer
The nurse should maintain a clear escape route, use concise and neutral communication, and maintain a non-threatening physical posture with visible hands.
In any acute behavioral crisis or escalating situation, the nurse's primary focus must be immediate safety and de-escalation. Maintaining an open exit path protects the nurse from being trapped. Using short, simple sentences is necessary because severe anxiety impairs cognitive processing. Maintaining an open, relaxed posture provides non-verbal reassurance and avoids appearing confrontational.
Step-by-Step Solution
Key Concept
Crisis Intervention and Safety Prioritization