What should be the first step for a nurse when communicating with an angry patient?

Choice A rationale
While the initial days after admission can be stressful and potentially risky for a patient with suicidal ideation, they are not typically considered the highest risk period.
Choice B rationale
Anniversaries of significant life events can indeed trigger emotional distress and potentially increase suicide risk. However, these are specific time points and not a continuous period of heightened risk.
Choice C rationale
The highest risk for self-harm in a patient with a history of suicidal ideation is often approximately 2 weeks after starting antidepressant medication. This is because as their mood begins to lift, they may still have suicidal thoughts but now have the energy to act on them.
Choice D rationale
While family visits can be emotionally charged and potentially distressing, they do not typically represent the highest risk period for self-harm.

Choice A rationale
Active listening is the first step when communicating with an angry patient. It involves giving the patient full attention, understanding their concerns, and showing empathy. This can help to de-escalate the situation and make the patient feel heard and understood.
Choice B rationale
Offering positive comments can be helpful, but it’s not the first step in communicating with an angry patient. It’s important to first understand the patient’s concerns and feelings through active listening before offering any comments.
Choice C rationale
Identifying emotions is an important part of communicating with an angry patient, but it comes after active listening. Once the patient’s concerns and feelings have been understood through active listening, the nurse can then identify and acknowledge the patient’s emotions.
Choice D rationale
Exploring options is a later step in communicating with an angry patient. After active listening and identifying emotions, the nurse can work with the patient to explore options and find solutions.