The client is a young adult who has been arrested for several petty crimes in the past. Recently, the client was arrested for physically assaulting a patron in a bar after they exchanged aggressive words. Upon evaluation, he is diagnosed with antisocial personality disorder. The nurse caring for him includes the nursing diagnosis "risk for other-directed violence" in his care plan. Which nursing intervention is most appropriate for the client? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. The nurse must convey an accepting attitude toward a potentially violent client. Feelings of rejection are undoubtedly familiar to the client. The nurse must develop trust by being honest, keeping all promises, and conveying the message to the client that it is not him but the behavior that is unacceptable. An attitude of acceptance promotes feelings of self-worth. Trust is the basis of a therapeutic relationship.
2.This is correct. The nurse must maintain a low level of stimuli in the potentially violent client's environment (low lighting, few people, simple decor, low noise level). A stimulating environment may increase agitation and promote aggressive behavior.
3.This is incorrect. Clients are not punished for disobeying unit rules but rather face consequences of their behavior. It is nontherapeutic for the nurse to tell the client that he will be punished for unacceptable behavior. One of the reasons the client is receiving care is to help him develop healthy coping skills, which should be encouraged.
4.This is correct. Physically demanding activities help the violent client relieve pent-up tension. The client may implement large motor skills to channel hostile energy into socially acceptable behavior.

The Client Is a Young Adult Who Has Been Arrested