While conducting an admission assessment of a female client with bipolar disorder, the client suddenly starts to undress and throw her clothes around the room. What should be the nurse’s initial action?

Choice A rationale While switching to less anxiety-provoking questions might help in some situations, it does not address the immediate issue of the client undressing inappropriately. Choice B rationale Ignoring the client’s inappropriate behavior could potentially encourage further inappropriate actions and does not respect the therapeutic boundaries necessary in a nurse-client relationship. Choice C rationale Leaving the client’s room might escalate the situation further and does not address the immediate issue. Choice D rationale The nurse should assertively but respectfully communicate that undressing is not appropriate during the interview. This sets clear boundaries and expectations for the client’s behavior.