Question

A client at an inpatient psychiatric unit suddenly becomes loud and visibly anxious. What is the best action for the nurse to take?

Face the client squarely and say, "You must be quiet." Say to the client, "Let's go talk in your room." Summon help, and escort the client to his/her room. Say to the client, "Calm down; you're safe here."

Answer 1

The most effective response to a psychiatric client who becomes anxious and loud is to gently suggest moving to a quieter, private area to talk, ensuring the situation is handled with empathy and discretion.

Step-by-step explanation:

When a client at an inpatient psychiatric unit becomes loud and visibly anxious, the best action for a nurse to take would be to approach the situation with calmness and compassion. Saying to the client, "Let's go talk in your room," can provide a private and less stimulating environment, which may help de-escalate the situation. This approach demonstrates respect for the client's dignity and may help them feel more secure and understood. It's essential to choose your words carefully and not to inflame the situation. If necessary, the nurse may need to summon help to ensure safety, but this should be done discreetly to avoid further agitation. The goal is to create a supportive atmosphere where the client feels heard and to manage the situation without resorting to authoritative commands that could exacerbate anxiety.