A patient has entered the escalation phase of the assault cycle.What is the most appropriate nursing intervention in order to manage the situation?

Question

Quizplus · Accepted Answer

The most appropriate nursing intervention during the escalation phase of the assault cycle is to direct the patient to the quiet room, which is a safe and secluded area where the patient can calm down and de-escalate. This can prevent the patient from continuing to escalate and potentially becoming violent. Processing the incident with the patient and encouraging ventilation of feelings may be appropriate interventions during the later stages of the cycle, but during the escalation phase, the priority is to prevent a potential outburst. Placing the patient in seclusion should only be done as a last resort when all other attempts to de-escalate have failed and the patient is a danger to themselves or others.

A Patient Has Entered the Escalation Phase of the Assault