Final answer:
The nurse should respond to a client with severe anxiety by calmly reassuring them about the safety of their belongings, offering to explain access procedures, and conveying empathy. They should de-escalate the situation by providing support and avoiding behaviors that might increase anxiety.
Step-by-step explanation:
The appropriate response by the nurse to a client who is experiencing severe anxiety, pacing, crying, and hyperventilating is to approach the situation calmly and provide reassurance. The nurse should address the client's concerns directly by explaining where their belongings are kept and ensuring the client that their items are safe. It is crucial for the nurse to use a soothing voice, maintain a non-threatening posture, and validate the client's feelings without dismissing them.
A potential response could be: "I understand you're upset about your belongings. We have them stored safely for you. Let's sit down together, and I can explain how you can access them. It's important for us to keep the unit safe for everyone, which is why we hold onto personal items. I assure you everything will be returned to you." This response provides clear communication, reassurance of safety, and offers a plan to address the situation.
The nurse's manner should convey empathy and understanding, aiming to de-escalate the situation by offering support and assistance. Pacing with the client or providing a quiet space for them to calm down may also be helpful strategies. It's important to avoid making the client feel ignored or belittled as this could exacerbate their anxiety.