The nurse notices a client is becoming very agitated. Which nursing intervention is most appropriate?

Choice A reason: Continuous eye contact may be perceived as confrontational or threatening by an agitated client. It can escalate the situation rather than de-escalate it, especially in clients with paranoia or psychosis. Choice B reason: Suggesting television may distract some clients, but it does not address the agitation directly. It may be ineffective or even overstimulating depending on the client’s mental state. Choice C reason: Providing adequate personal space is a foundational de-escalation technique. It respects the client’s boundaries, reduces sensory overload, and minimizes the risk of aggression. This approach promotes safety and therapeutic rapport. Choice D reason: Physical contact, such as holding hands, may be misinterpreted or rejected by an agitated client. It can increase distress or trigger unpredictable reactions, especially in clients with trauma histories or psychotic symptoms.