The nurse is caring for a client who is aggressive, demanding, and verbally abusive toward staff and visitors. The client says, "I'm getting out of here. I'm going to end it all." What immediate action should the nurse take?

Question

Quizplus · Accepted Answer

The client has made a statement indicating a potential for self-harm, so the nurse should prioritize the safety of the client and others. Calling security is the best immediate action to ensure the client's safety and prevent harm to oneself or others. Attempting to block the exit door may escalate the situation and put the nurse in danger. Administering a sedative without an order from a healthcare provider would be considered a restraint and could result in harm to the client. Notifying the client's family may be necessary, but it is not the most important immediate action in this scenario.

The Nurse Is Caring for a Client Who Is Aggressive