A client with severe anxiety who has been pacing the hall suddenly begins to run, shouting "I'm
going to explode!" over and over. The nurse who has been walking with him should
a. run after the client and call out for the client to stop running.
b. capture him in a basket hold when he runs back up the hall.
c. ask "I'm not sure what you mean. Give me an example.".
d. assemble a show of force and state "We will help you regain control.".
ANS: D
Safety needs of the client and other clients are a priority. The client is less likely to hurt himself or
others when several staff take responsibility for providing limits. The explanation given the client
should be simple and neutral. Simply being told that others can provide the control he is losing may
be sufficient to help the client regain control. Option A: Running after the client will increase his
anxiety. Option B: More than one staff member will be needed to provide physical limits if they
become necessary. Option C would be futile; a client in panic processes information poorly.
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