When a nurse overhears the spouse of a patient threaten to "punch you in the face if you don't shut up" while sitting in the unit's dayroom,which action reflects the most immediate,therapeutic nursing intervention?
A) Notify hospital security immediately that the situation exists.
B) Tell the spouse, "Your presence is no longer permitted on the unit."
C) Ask the patient if the spouse has ever engaged in abusive behavior.
D) Tell the spouse, "The police will be called unless you leave immediately."
Correct Answer:
Verified
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