A patient in the emergency department becomes increasingly agitated and threatens staff members. Which of the following interventions should be implemented first?
Immediately call for security assistance
Apply physical restraints
Administer an intramuscular sedative
Establish a calm, non-threatening environment
The correct answer is to establish a calm, non-threatening environment. This approach is crucial as the initial step in managing aggressive behavior, as it can help de-escalate the situation without resorting to more restrictive measures. By creating a calm atmosphere, you reduce stimuli that may further agitate the patient and demonstrate a non-confrontational stance. This can often prevent the need for physical restraints or medication, which should be considered only if less restrictive methods fail. Calling security immediately may escalate the situation, and administering medication without attempting de-escalation first is not the best initial approach. Remember, the goal is to use the least restrictive means possible to ensure safety while maintaining the patient's dignity.
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