A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

Choice A reason: Allowing the client to pace alone until physically tired is not therapeutic. While pacing is a form of physical release, leaving the client alone may increase feelings of isolation and does not provide emotional support or guidance. It also risks escalation of anxiety without intervention. Choice B reason: Instructing the client to sit down and stop pacing is inappropriate. This directive is controlling and invalidates the client’s coping mechanism. It may increase agitation and resistance, worsening the anxiety. Clients with generalized anxiety disorder need supportive interventions rather than commands that restrict their behavior. Choice C reason: Having a staff member escort the client to her room is not the best intervention. Forcing isolation may reinforce avoidance behaviors and does not help the client learn adaptive coping strategies. It may also be perceived as punitive, which can damage therapeutic rapport. Choice D reason: Walking with the client at a gradually slower pace is the most therapeutic intervention. This approach validates the client’s need for movement while providing support and modeling calm behavior. Gradually slowing the pace helps the client regulate physiological arousal and anxiety. It also fosters a sense of connection and safety, which is essential in managing acute anxiety episodes.