Question

A female client on an inpatient unit enters the day area for visiting hours dressed in a see-through blouse and wearing no undergarments. Which intervention should be a nurse's first priority?

A. Discuss with the client the inappropriateness of her attire.
B. Avoid addressing her attention-seeking behavior.
C. Lead the client back to her room and assist her to choose appropriate clothing.
D. Restrict client to room until visiting hours are over.

Answer 1

The nurse should first lead the client back to her room and assist in choosing appropriate clothing. Subsequent private discussions may address the appropriateness of attire. Restricting the client is not a therapeutic approach.

Step-by-step explanation:

The nurse's first priority should be to address the situation with sensitivity and respect for the client's dignity. Leading the client back to her room and assisting her to choose appropriate clothing would be the most appropriate and respectful initial action. This intervention shows concern for the client's well-being, respect for other patients and visitors, and maintains a professional and therapeutic environment.

Discussions about the appropriateness of attire and attention-seeking behavior can be conducted afterwards, in a more private setting, to ensure the conversation is constructive and provides the client with clarity on the expectations of the unit without public embarrassment.

Restricting the client to her room may be seen as punitive and could negatively impact the therapeutic relationship, making it the least favorable option.