During a shift, an emergency nurse encounters a patient who is exhibiting aggressive and threatening behavior. Which intervention should the nurse prioritize to ensure safety while managing the patient?
Establish a safe environment by removing potential weapons and ensuring there is a clear exit path
Immediately seek additional help by calling security
Start by using verbal de-escalation techniques to calm the patient
Assess the underlying cause of the patient's aggressive behavior
Establishing a safe environment is the primary intervention when managing a patient exhibiting aggressive and threatening behavior. This entails removing potential weapons and maintaining a secure area, which helps in preventing harm to the patient, healthcare professionals, and other individuals in the vicinity. De-escalation techniques are crucial but the safety measures are the foundation upon which other interventions like verbal de-escalation build. While assessing the underlying cause is important, it cannot precede safety measures. Seeking additional help becomes necessary only if initial safety and de-escalation strategies do not stabilize the situation.
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BCEN CEN
Mental Health Emergencies
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