The nurse is talking with a mentally ill client in the hospital and notes that the client begins to talk loudly and to pace. The initial response by the nurse would be to:
1. take the client's hand to soothe the client.
2. gather other staff members around the client.
3. tell the client that the behavior is inappropriate.
4. notify the physician for emergency drugs to sedate the client.
Answer: 3
1. When a client is exhibiting the beginning of violent behavior, the nurse does not touch the client, as this could exacerbate the violence.
2. Adding other staff members will likely increase the client's violent behavior.
3. The nurse should tell the client the behavior is inappropriate. If that does not work, the nurse should try to distract the client and then offer medication.
4. Use of emergency drugs is an option if all else fails. It is not the first line of treatment.
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