I have worked in 5 ER's as an RN on both East and West Coast. And on both sides of the country you always run into a few Macho Men Nurses in the ED. These are the ones with poor impulse control and poor coping skills and they alway's seem to internalize anything that an angry patient says to them. Quite a few that I have worked with were Homophobic also.
In situatons when Patients are aggressive with me I always try and set limits for acceptable behavior and or defuse the situation butttttttttt............. The Macho men always prefer to do a take down. I avoid a Take Down if I can because someone usually gets injured and there is risk to life and limb and liability issues also. But if all else fails I will be in the mix for the Take down.
The Macho men enjoy pushing the buttons of the already agitated pt. a few notches higher till he escalates and attacks. For what? Is it worth it? Why push the guy's buttons? What if he has a knife or a gun or grabs and IV pole and bashes your brains in alittle or waits for a smaller more vulnerable prey to vent his anger on now that you egged him on?