A nurse working in a mental health facility is caring for a client who is pacing back and forth in the day room while wringing their hands. Which of the following actions should the nurse take?
Explanation & Rationale
A. Move the client to a table where other clients are playing cards. A client exhibiting signs of anxiety, such as pacing and hand-wringing, may find social interactions overwhelming. Forcing engagement in a group activity could increase distress rather than provide comfort. B. Ask the client if they would like to watch television. Television may not be helpful for an anxious client, as it can add to sensory overload rather than provide a calming effect. A more effective approach is direct communication and grounding techniques. C. Use short, simple sentences when speaking with the client. Anxiety can impair concentration and comprehension. Speaking in short, clear sentences helps the client process information more easily and can promote a sense of security. Calm, concise communication is essential in de-escalating anxiety. D. Allow the client to have 1 hr of time alone in their room. While some clients may benefit from time alone, extended isolation is not an appropriate first intervention. It is more effective to provide support and reassurance through clear communication before considering a break in a quiet environment.