A nurse is caring for a client who has recently been admitted to a psychiatric facility and appears withdrawn, pacing frequently, and avoiding eye contact with both staff and peers. What is the most appropriate initial action for the nurse to promote a therapeutic environment?
Approach the client calmly, acknowledge their presence, and offer to sit with them without pressuring them to talk.
Encourage the client to join a group activity or participate in a therapy session to foster social engagement.
Redirect the client to sit down and rest if pacing persists, as this behavior increases their anxiety.
Observe the client closely from a distance to ensure their safety and avoid making them uncomfortable.
The correct answer focuses on actions that establish trust and a sense of safety for the client in the therapeutic environment. Approaching the client calmly and offering a non-threatening presence encourages the client to feel supported and accepted without applying pressure. Encouraging participation in group activities may be too overwhelming for the client in their current state, and observing without interaction does not foster a connection or therapeutic relationship. Redirecting the client to sit down and rest imposes control unnecessarily and may escalate anxiety, as pacing can sometimes be a self-soothing behavior.
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NCLEX RN
Psychosocial Integrity
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