A client is assessed as experiencing moderate anxiety. To reduce the client's level of anxiety as
quickly as possible, the nurse should
a. stay with him.
b. tell him that help will come.
c. tell him he will not be allowed to hurt anyone.
d. question him to discover the events that led to his decompensation.
ANS: A
The presence of a caring person provides a link with reality. The nurse can offer structure and set
limits when necessary. Option B implies that the nurse cannot provide assistance. Option C is a
premature attempt to set physical limits. Option D is inappropriate when a client is highly
disorganized.
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