A nurse is caring for a client who is exhibiting increasing agitation, pacing, and verbal outbursts directed toward the staff. What is the BEST initial action for the nurse to take?
Alert security in case the client becomes physically violent.
Prepare to use physical restraints to manage the client's behavior.
Speak calmly to the client and encourage them to express their concerns.
Observe the client from a distance without intervening further.
The correct action involves recognizing early signs of aggression and using non-confrontational communication to de-escalate the situation before it escalates further. This approach prioritizes safety while addressing the client's immediate needs in a calm and controlled manner. Other options, such as involving security or using physical restraints, may be necessary later if the client's behavior becomes more dangerous, but they should not be the nurse's first response as they can escalate the situation. Observing the client without engaging does not provide the necessary intervention to mitigate the behavior.
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NCLEX RN
Psychosocial Integrity
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