Final answer:
When caring for a client who is speaking in a loud voice with clenched fists, the nurse should approach the client calmly and ask about their concerns, while staying calm and respectful. Open-ended questions and active listening can help in understanding the client's position. If the conflict cannot be resolved, the nurse may report the behavior.
Step-by-step explanation:
When caring for a client who is speaking in a loud voice with clenched fists, the nurse should approach the client calmly and ask about their concerns. The nurse should choose their words carefully so as not to inflame the situation and stay as calm as possible while listening to the client's side of the story. It is important for the nurse to avoid suggesting that they are right and the client is wrong, and instead remain open and respectful.
The nurse can try asking open-ended questions to learn more about the client's position and they should restate what they heard the client say to let them know they were listening and avoid misunderstandings. The focus should be on solving the problem, not blaming the client. If the nurse is not able to resolve the conflict, they may choose to report the behavior to the charge nurse or supervisor.