The nurse sees a nursing assistant talking in an unusually loud voice to a client with delirium. Which action should the nurse take?
A. Informing the client that everything is all right
B. Speaking to the nursing assistant immediately, while in the client's room, to solve the problem
C. Explaining to the nursing assistant that yelling in the client's room is tolerated only if the client is talking loudly
D. Determining that the client is safe, calmly asking the nursing assistant to join you outside the room, and informing the nursing assistant of the observation
Answer: D. Determining that the client is safe, calmly asking the nursing assistant to join you outside the room, and informing the nursing assistant of the observation
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