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In a situation where a resident is being combative, what should a nurse aide prioritize?

Show the resident that they are in control

Call for help to ensure witnesses are present

Explain potential restraint application if not calm

Step back and speak calmly while protecting self from harm

In a situation where a resident is being combative, it is vital for the nurse aide to prioritize their own safety while also attempting to de-escalate the situation. Stepping back and speaking calmly helps to create a safer environment for both the aide and the resident. This approach allows the aide to avoid any potential physical confrontation, reducing the risk of injury. It is equally important to communicate in a soothing manner, as this can help to calm the resident and alleviate their agitation. By maintaining a safe distance and using calm verbal communication, the aide is practicing essential de-escalation techniques that can prevent the situation from escalating further.

Other approaches may involve more immediate confrontation or showing authority, which could heighten the resident's aggressive behavior rather than help defuse it. Prioritizing one’s own safety while seeking to calm a combative resident creates an optimal chance for a peaceful resolution.

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