The nurse observes that the patient is pacing in his room with clenched fists.When asked "What's wrong?" the patient states,"There's nothing wrong.I just want out of here." He then bangs his fist on the table and yells "I've had it!" The nurse should: (Select all that apply.)

Question

Quizplus · Accepted Answer

Awareness and control of your own reaction and responses will facilitate more constructive interaction.Maintain an open exit.Position self closest to the door to facilitate escape from a potentially violent situation.Do not block the exit so the patient feels escape is unattainable; this may cause a violent outburst.An angry patient loses the ability to process information rationally and therefore may impulsively express anger through intimidation.If strong likelihood of imminent harm to another is present upon discharge,notify proper authorities (e.g.,nurse manager).

The Nurse Observes That the Patient Is Pacing in His