The nurse is assigned to a client who is psychotic, pacing, agitated, and using aggressive gestures and rapid speech. The nurse determines that the priority of care at this time is which of the fol-lowing?
1. Providing safety for the client and other clients on the unit
2. Offering the client a less stimulated area in which to calm down and gain control
3. Assisting in caring for the client in a controlled environment, such as a quiet room
4. Providing the other clients on the unit with a sense of comfort and safety by iso-lating the client
1
Rationale: Safety for the client and other clients is the priority. "Providing safety for the client and other clients on the unit" is the only option that addresses the client's and other clients' safe-ty needs. "Offering the client a less stimulated area in which to calm down and gain control" and "assisting in caring for the client in a controlled environment, such as a quiet room" address only the client's needs. "Providing the other clients on the unit with a sense of comfort and safety by isolating the client" addresses only the needs of the other clients on the unit.
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