A nurse taking care of a patient

A nurse taking care of a patient with schizophrenia finds the patient in the room pacing, gesturing wildly and screaming, “I am sick and tired of all of you telling me what to do, now I am going to show you what I can do to all of you”. Which of the following actions by the nurse are appropriate? Select all that apply. a. Acknowledge the client’s feelings and ask the client the share the cause of the behavior b. Assume a relax posture and use a calm tone when addressing the patient. c. Inform the client that the behavior is unacceptable and will lead to seclusion. d. Maintain at least an arm’s length when addressing the client. e. Prevent the client from exiting the room by standing in and blocking the doorway. SCIENCE HEALTH SCIENCE NURSING NCLEX 250

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