An older adult who recently moved to an assisted living facility expresses concern that the apartment is not close to the emergency exit stairs. During a routine fire drill, she becomes very agitated and pushes another resident over as she quickly runs to the exit stairs. Which intervention has priority in helping the client manage these fears?
a. Providing instructions on safe procedures during a fire drill
b. Establishing a supportive nurse-client relationship
c. Moving the client to an apartment close to the exit stairs
d. Encouraging discussions related to the factors causing the fear
ANS: D
Effective coping with extremely traumatic events that create intense fear and helplessness is associated with secure and supportive relationships, which are a result of the ability to freely express or fully suppress the distressing experience. Establishing a supportive relationship and allowing her to discuss her fears are directed toward the provision of a safe and supportive relationship. While the other options are not inappropriate, they do not have priority over the correct option.
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