A client exhibits paranoia, bizarre behaviors, neologisms, and delusions of persecution. While eating breakfast in the dayroom, the client starts yelling at others. Which is the nurse's first action?
A) Ensure client is swallowing each dose of medication.
B) Ask other clients to step out of the dayroom.
C) Call the provider for an order to place the client in restraints.
D) Escort the client to a less-stimulating environment.
Correct Answer:
Verified
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