In a violent encounter with a patient wielding a knife, the appropriate action is to

• A. Enter the scene immediately
• B. Restrain the patient with manual holds
• C. Call for backup after initial contact
• D. Request law enforcement assistance

Answer: (D)

When a patient is violent and wielding a knife, the priority is to keep people safe and bring in trained responders who can handle the situation. Requesting law enforcement assistance is the best action because they are trained to manage weapon threats, establish control of the scene, and coordinate with hospital security to protect staff and other patients without exposing you to serious harm.

Entering the scene immediately or trying to restrain the patient with manual holds can escalate the threat and lead to severe injury for you and others. A knife changes the risk calculus completely, and untrained attempts at restraint are not only dangerous but often illegal. Waiting to contact help after you’ve tried to engage also delays critical support; it’s safer to seek backup as soon as you recognize the danger and before approaching.

If possible, create distance, secure exits, and use de-escalation verbally while calling for assistance so trained personnel can take over and manage the situation with the proper tools and protocols.