A Novice Nurse Notices a Patient Is Pacing the Floor

Multiple Choice

A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (Select all that apply.)

A) Glaring at the nurse
B) Nervousness, twisting of hands
C) Murmuring when talking
D) Diagnosis of a terminal illness
E) Isolation, desire to be alone