Asked by Jackson Szalkowski on Sep 23, 2024

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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.

Command Hallucinations

Auditory hallucinations that instruct the individual to perform specific actions, which can sometimes be dangerous.

De-escalating Scenario

A situation or strategy aimed at reducing tension, aggression, or conflict, often by using calming techniques or communication skills.

  • Utilize suitable methods for de-escalation and intervention when handling aggressive conduct.
  • Acknowledge the critical role of cooperative efforts and exchange of information during crises management.
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AT
Aayush Thapaabout 21 hours ago
Final Answer :
A, D, E
Explanation :
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.