Key Vocabulary
Reality Orientation
De-Escalation Skills
What NOT to do
Scenarios
100

This term means helping a patient understand who they are, where they are, and what is happening. 

What is reality orientation?

100

Name one thing you can orient a patient to do. 

What is time/ place/ situation?

100

What should your voice sound like during de-escalation?

What is calm and soft?

100

Should you yell at a patient who is yelling?

What is no?

100

A patient repeatedly asks where they are but remains calm.
What technique should you use?

What is reality orientation?

200

This term means actions used to calm an upset patient. 

What is de-escalation?

200

True or False: Reality orientation should be forced even if the patient gets upset. 

What is False?

200

Name one early warning sign of agitation.

What is pacing, raised voice, clenched fists, etc.

200

True or false: Touching a patient without consent can make agitation worse.

What is true?

200

A patient is raising their voice and pacing.
What should your first response focus on?

What is de-escalation?

300

This word describes restlessness, anger, or emotional distress. 

What is agitation?

300

State one example of a reality orientation statement. 

What is "You're in the hospital. I'm here to help." ? 

300

Why is keeping a safe distance important?

What is to protect safety and reduce threat?

300

Why should HC workers avoid crowding a patient? 

What is it can feel threatening and increase agitation?

300

A patient becomes angry when corrected.
What should you do next?

What is stop correcting and focus on calming?

400

This is something that causes confusion or stress in a patient.

What is a trigger?

400

Reality orientation works best when the patient is confused but not __________.

What is aggressive? 

400

"I can see that you're __________."

What is upset/ frustrated/ scared?

400

What is a possible consequence of touching a patient without their permission?

What is escalation or unsafe behavior? 

400

A patient is yelling, clenching fists, and refusing care.
Name two appropriate actions.

What is use calm voice, keep distance, call for help if needed?

500

This type of communication is calm, respectful, and professional. 

What is therapeutic communication?

500

Name two tools that can help with reality orientation.

What are clocks, calendars, name tags, and/or signs?

500

Name two de-escalation techniques. 

What is calm tone/ listening/ validating feelings/ offering choices?

500

Explain why threats or ultimatums are inappropriate in patient care? 

What is they remove trust and increase fear?
500

A patient’s behavior is becoming unsafe.
What is your professional responsibility?

What is get assistance and follow facility protocol?