Difficulty: Medium
Average Score: 87%
Simulated
The nurse observes that the client diagnosed with intermittent explosive disorder is becoming aggressive and that lorazepam was prescribed. The client is now exhibiting a tense posture a clenched fist and a defiant affect. Prioritize the nurseÔÇÖs actions to de-escalate the clientÔÇÖs aggression.
Correct answer
B ,E ,D ,A, C
Rationale
Talk down (B) builds trust offering physical outlets (E) releases tension medication choice (D) calms staff assistance (A) ensures safety and restraints (C) are last resort for harm prevention.