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Amanda is caring for an 82-year-old patient with a fractured hip and dementia. In the shift report, she learns that the patient becomes agitated and combative at night. During her evening shift assessment, Amanda notes that the patient does not know where she is or why Amanda is in her room. Amanda remembers her hospital training on dealing with agitated patients by using soothing tones when addressing the patient and ensuring a calm environment. During assessment, the patient yells that Amanda is killing her. She begins swinging at Amanda with the telephone, breaking her jaw. Amanda runs out of the room, and her co-worker calls a “Code White.”

1. What is a Code White, and how would it help in this situation?

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2. Identify elements of this case that signal a potentially threatening situation?
3. What preventive measures does the facility have in place to deal with hostile situations?
4. If Amanda were floated to another floor where this situation occurred, would this change how she should approach the situation?

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