A nurse is caring for a client who reports acute, moderate anxiety. Which of the following is the priority nursing action?
Explanation & Rationale
Choice A reason: Recalling past coping mechanisms can be helpful, but it is not the priority in acute anxiety. The client may be too overwhelmed to focus on strategies without first establishing a sense of safety. Choice B reason: Remaining with the client is the priority, as it provides a calming presence, ensures safety, and helps reduce the client’s anxiety by offering immediate support and reassurance during an acute episode. Choice C reason: Encouraging verbalization of feelings is therapeutic but not the priority in acute anxiety. The client may need time to calm down before they can effectively express their emotions. Choice D reason: Providing a diverting activity may help manage mild anxiety but is not the priority in an acute, moderate episode. Staying with the client to ensure safety and reduce distress takes precedence.