A nurse is performing an admission assessment for a client who appears withdrawn and fearful. Which of the following actions should the nurse take first?

Choice A reason: Informing the client that the admission is confidential is the first priority. Establishing trust and ensuring the client feels safe is essential before proceeding with further assessment or interventions. Confidentiality reassures the client that sensitive information will be protected, which is critical for someone who is fearful and withdrawn. Choice B reason: Determining coping strategies is important but should occur after trust is established. A fearful client may not disclose coping mechanisms until they feel secure in the therapeutic relationship. Choice C reason: Assisting the client in facilitating a change in behavior is premature during admission. The nurse must first assess and build rapport before initiating behavioral interventions. Choice D reason: Introducing the client to others in the day room may increase anxiety. A fearful and withdrawn client may feel overwhelmed by social interaction before trust and safety are established.