Which intervention should an emergency nurse prioritize when initially managing a patient who is demonstrating aggressive and physically violent behavior?
Initiating immediate pharmacological intervention with sedatives
Establishing a therapeutic environment by removing any potential weapons and ensuring the area is safe
Providing the patient with detailed information regarding their condition to distract them from violent behavior
Applying physical restraints without prior de-escalation attempts
Safety of the patient and healthcare staff is the primary concern when managing a patient exhibiting aggressive and violent behavior. Establishing a therapeutic environment includes ensuring a safe space free of potential weapons and hazards. This precedes medication administration and restraint application, which are further steps in the management of aggression after initial safety measures have been taken. Therapy initiation is an important long-term strategy but not the first-line action in acute aggressive situations. Providing information about their condition is important for patient education but is not the primary intervention for managing immediate physical violence.
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