A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated. Which action by the nurse would be most appropriate in this situation?
a. Turn up the volume on the television to distract the client.
b. Bring him to sit at the nurses' station while the staff is doing shift report.
c. Keep him in the lounge and attempt to converse with him.
d. Accompany him to a room where soft music is playing.
D
High noise levels can lead to distorted perceptions, altered thinking, and sensory overload. Calm music, the sound of ocean waves, or a light rain can produce relaxation. When noise levels become too intense, clients tend to become distracted and agitated. Turning up the volume on the television, bringing him to a crowded nurses station, and keeping him in the lounge do not decrease noise levels and may increase his agitation.
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