A client on the psychiatric unit has become highly agitated and is threatening other clients and some of the staff. The nurse escorts the client to the isolation room, leaves the door open, and tells the client:
1. "I can't believe you behaved in this manner and upset everyone else..".
2. "If you do not calm down, we will sedate you for your own safety.".
3. "You scared the other clients and I must now help them.".
4. "I'm going to sit right here in case you need to talk.".
4. "I'm going to sit right here in case you need to talk.".
Rationale:
The nurse offers support to the client by offering to listen if the client wants to talk about the episode. Telling the client that the nurse does not believe the behavior is not effective communication at this point. Threatening the client with medication is not allowed. The psychiatric client may not be aware enough to realize the impact of behavior on the other clients.
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