A Geriatric Client in a Long-Term-Care Facility Becomes Increasingly Confused

A geriatric client in a long-term-care facility becomes increasingly confused and verbally aggressive as evening approaches. Which actions would the nurse interpret as potentially signaling a violent episode? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) The client is moving slowly toward the room door.
B) The client is staring blankly at the nurse.
C) The client suddenly becomes alert and oriented.
D) The client raises his fist.
E) The client says, "I know where there is a gun."

Correct Answer:

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