What should a nurse say first when approaching a violent client?

In situations involving a potentially violent client, establishing a foundation of safety and professionalism is crucial. Introducing oneself as a nurse serves several important purposes. It initiates the creation of a rapport, communicates authority and responsibility, and sets a tone of respect. This introduction helps the client understand who they are interacting with, which can help de-escalate the situation by providing clarity and establishing a connection.

Starting the interaction with an introduction gives the nurse an opportunity to gain the client’s attention in a non-threatening manner, making it clear that the nurse is there to help. This approach is foundational in therapeutic communication, especially in high-stress scenarios.

Other options, such as asking the client how they are feeling or telling them to calm down or be quiet, may not be effective as initial responses. These phrases could be perceived as dismissive, may provoke further agitation, or might not convey the nurse's role in providing help and support. Thus, introducing oneself first is the most strategic and safe choice in dealing with a potentially violent situation.