A 45-year-old client with a history of schizophrenia becomes agitated during a group therapy session, pacing the room and raising their voice angrily. As a nurse observing this behavior, what is the best initial approach to manage the situation?
Approach the client calmly and speak in a low, clear voice, acknowledging their feelings and offering assistance.
Inform the client that continued outbursts will result in removal from the therapy session.
Instruct the client to sit down and stop disrupting the session, using a firm tone to establish control.
Implement appropriate measures to ensure the safety of others in the room.
The correct answer emphasizes de-escalation through calm communication and an understanding tone, which can diffuse the situation without escalating the client’s agitation. Giving strict instructions to sit down or stop disruptive behavior in a firm tone may escalate conflict, as it can be perceived as confrontational. Threatening removal is not therapeutic and may further upset the client rather than de-escalate the situation. Lastly, implementing physical measures is reserved for high-risk situations where the client poses an immediate threat and other strategies have been unsuccessful. De-escalating verbally is more appropriate as an initial approach.
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NCLEX RN
Psychosocial Integrity
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