A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take?
Remain a distance of 1 ft away from the client.
Speak slowly in a low, calm voice.
Forbid the client from speaking in an abusive manner.
Inform the client of consequences.
The Correct Answer is B
Choice A reason: Standing 1 ft away from a verbally abusive client is too close and may escalate the situation by invading their personal space. Maintaining a safe distance (about 3–6 ft) is recommended for safety.
Choice B reason: Speaking slowly in a low, calm voice helps de-escalate the situation by modeling calm behavior and reducing the client’s agitation. This approach promotes a safe environment and encourages de-escalation.
Choice C reason: Forbidding the client from speaking abusively may escalate their agitation, as it can be perceived as confrontational. A non-confrontational approach, like staying calm, is more effective.
Choice D reason: Informing the client of consequences may be appropriate later, but it is not the first action. De-escalation through calm communication is the priority to manage the immediate verbal abuse safely.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:A close friend can offer emotional support, but they may lack the training to address the complex medical, legal, and psychological needs of a sexual assault survivor in the immediate aftermath.
Choice B reason:A chaplain can provide spiritual support, which may be helpful for some clients. However, immediate needs like medical care, evidence collection, and crisis intervention require specialized expertise.
Choice C reason:A social worker is trained to provide crisis intervention, coordinate medical and legal resources, and offer emotional support tailored to trauma survivors. They are the most effective resource immediately following a sexual assault to address comprehensive needs.
Choice D reason:A psychologist can provide long-term mental health support, but immediate post-assault care prioritizes crisis intervention, medical evaluation, and legal coordination, which are better handled by a social worker.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Validating the client’s feelings is essential in crisis intervention because it communicates empathy and understanding, reducing the client’s distress.
Choice B reason: Identifying the cause of anxiety helps target the intervention plan and ensures the nurse addresses underlying triggers.
Choice C reason: Establishing rapport builds trust, which is vital for the client to feel supported and safe during a crisis.
Choice D reason: Avoiding eye contact is non-therapeutic and can be interpreted as avoidance or disinterest, worsening the client’s anxiety.
Choice E reason: A flexible crisis intervention plan allows adjustments based on the client’s immediate needs, ensuring care is individualized and effective.
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