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?
Immediately seek additional help by calling security
Assess the underlying cause of the patient's aggressive behavior
Establish a safe environment by removing potential weapons and ensuring there is a clear exit path
Start by using verbal de-escalation techniques to calm the patient
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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