An involuntarily committed client, when offered a dinner tray, pushes it off the bedside table onto the floor. Which intervention should a nurse prioritize to address this behavior?
A. Initiate forced medication protocol.
B. Help the client to explore the source of anger.
C. Ignore the act to avoid reinforcing the behavior.
D. With staff support and a show of solidarity, set firm limits on the behavior.
D
The most appropriate nursing intervention is to set firm limits on the behavior. Pushing food onto the floor does not warrant forced medication because the behavior is not a direct safety concern. Exploring the source of anger may be appropriate after the client has gained emotional control. Ignoring the act may further upset the client and does not reinforce appropriate behavior.
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