When the Nurse Observes a Resident in a Long-Term Facility

Multiple Choice

When the nurse observes a resident in a long-term facility pounding his fists on his legs and grinding his teeth, the nurse will validate her perception of the patient's nonverbal expression of anger by:

A) documenting that the patient was agitated and appeared angry.
B) asking the male nursing assistant if it is his perception that the patient appears angry.
C) accessing the nursing care plan to ascertain if there is a nursing diagnosis relative to anger.
D) sitting down near the patient and saying, "You seem upset…can I help?"