A nurse on a mental health unit is caring for a newly admitted client. Exhibits The nurse is continuing to care for the client. Which of the following actions should the nurse take?(Select All that Apply.)

A. Gently place a hand on the client's arm during conversation Avoid touching an anxious or potentially aggressive client-may escalate agitation. B. Employ active listening skills Validates feelings and promotes therapeutic communication. C. Administer an anxiolytic medication Client is showing signs of withdrawal and agitation-medication may be indicated. D. Explain behavioral limits Setting limits provides structure and promotes safety. E. Assist in identifying source of anger Supports emotional processing and de-escalation.