A patient with a history of command hallucinations approaches the nurse, yelling obscenities. The patient mumbles and then walks away. The nurse follows. Which nursing actions are most likely to be effective in de-escalating this scenario? (Select all that apply.)
A) State the expectation that the patient will stay in control.
B) State that the patient cannot be understood when mumbling.
C) Tell the patient, "You are behaving inappropriately."
D) Offer to provide the patient with medication to help.
E) Speak in a firm but calm, caring voice.

Question

Quizplus · Accepted Answer

Stating the expectation that the patient will maintain control of behavior reinforces positive, healthy behavior and avoids challenging the patient. Offering an as-needed medication provides support for the patient trying to maintain control. A firm but calm voice will likely comfort and calm the patient. Belittling remarks may lead to aggression. Criticism will probably prompt the patient to begin shouting.

A Patient with a History of Command Hallucinations Approaches the Nurse