An adult female client is exhibiting behavior that the nurse interprets as anger toward another client. What is the nurse's best action?
a. Continue to monitor the client's behavior and document it as anger directed toward another client.
b. Talk with the client about the observations made, and ask whether she was displaying anger toward the other client.
c. Ask the other client if she felt that the client was angry with her.
d. Ask the client to write in a journal the emotions she was feeling at that time.
B
Asking the client is an effective way of understanding the meaning of her behavior and is one of the principles of mental health care. Documentation of the nurse's interpretations without clarification would not be appropriate, nor would involving another client by asking for her interpretation of the situation. Asking the client to write in a journal is fine, but not in this circumstance.
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