A 19-year-old client has undergone an examination and had evidence collected after being raped. Her father is overheard yelling at his daughter, “You’re going to tell me who did this to you. What’s his name?” Which of the following is the nurse’s most immediate action?
1. “Please come with me, sir. I need some important information.”
2. “Stop yelling. You’re being inappropriate.”
3. “Please be quiet. You’re not helping your daughter this way.”
4. “If you don’t stop yelling, I’ll have to call Security.”
With this level of anger in a crisis, the father needs simple but firm directions to leave the room, calm down, and then to talk. Doing so relieves the daughter of any pressure from her father.
Telling the father to stop yelling or be quiet provides no concrete directions to the father and may embarrass him in front of his daughter. Telling the father that if he doesn’t stop yelling, the nurse will call Security is a threat, possibly leading to an escalation of the situation.
CN: Psychosocial adaptation; CL: Synthesize