Which action by the nurse would be most effective when dealing with a client with schizophrenia who is shouting and being verbally aggressive?
1. Take the client's arms, and gently but firmly guide him to a safe place.
2. Encourage the client to come into the dayroom and watch television.
3. Ignore the client's behavior unless it escalates or the client threatens another person.
4. Approach the client with the nurse's hands at her side, and talk calmly to the client.
Answer: 4
1. Touching the client might make him defensive and become violent.
2. A quiet environment is best until the client has calmed down.
3. Early intervention is necessary with psychotic clients to prevent escalation of behavior.
4. A nonthreatening, calm, and controlled approach can be contagious to the client.
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