Exhibits A nurse is planning care for a client who has been readmitted to an acute mental health unit. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

A. Use verbal intervention to assess the client's behavior: Verbal de-escalation is the first-line intervention for clients exhibiting aggressive behavior. It allows the nurse to assess triggers, express empathy, and help the client regain control in a non-threatening manner. B. Stand in front of the patient while acknowledging their behavior: Standing directly in front of an aggressive client can be perceived as confrontational or threatening, potentially worsening agitation. Maintaining a safe distance and a nonthreatening stance at an angle is safer and more therapeutic. C. Ignore the client's escalating behavior: Ignoring aggressive or threatening behavior allows the situation to worsen and increases the risk of harm to others. Active assessment and calm intervention are necessary to prevent violence and maintain a therapeutic environment. D. Approach the client with security: Security involvement should be reserved for situations where verbal interventions fail and there is an imminent threat of harm. Initially, the nurse should use therapeutic communication to de-escalate before resorting to coercive measures.