A nurse assesses that a client with a history of violent outbursts is growing increasingly agitated and is pacing steadily up and down the hall. What should the nurse do first?
A) Leave the client alone to continue to pace.
B) Call the client by name, walk with him, and ask him to tell you what he is feeling and thinking.
C) Call for backup and give the client an IM injection to calm him down.
D) Tell the client to stop pacing because it is frightening others on the unit.
B
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