Difficulty: Medium
Average Score: 86%
Simulated
The client is admitted to the ED with multiple lacerations and broken bones after being assaulted. The clientÔÇÖs spouse barges into the clientÔÇÖs ED room with a gun and states ÔÇ£IÔÇÖm going to kill you and anyone else who gets in my way.ÔÇØ Which action should be taken by the nurse initially?
Correct answer
D
Rationale
Using a nonaggressive posture and tone (D) to request the gun be placed down de-escalates the situation safely. Yelling (A) may startle and escalate assuming intent (B) blocks communication and gesturing (C) risks escalation if noticed.