NCLEX RN Practice Question

The correct response involves prioritizing de-escalation and maintaining safety. Recognizing early signs of escalating aggression, such as pacing, clenched fists, and loud speech, allows the nurse to intervene and prevent potential violence. Speaking in a calm, steady tone can help reduce tension, while maintaining physical distance shows respect for personal space and helps the client feel less threatened. Calling for security is an appropriate step if de-escalation fails or if there is an immediate danger, but it should not be the first response unless the client is actively violent. Reprimanding the client is non-therapeutic and might provoke further aggression. Asking about the events that led to this behavior may also escalate the situation, as it shifts focus away from calming the client in the moment.