The nurse notices a client is becoming very agitated. Which nursing intervention is most appropriate?

Question

Quizplus · Accepted Answer

1.This is incorrect. The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and the client's risk for violence. A stimulating environment adds to anxiety and can increase the client's agitation.
2.This is incorrect. The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and the client's risk for violence. The client may feel threatened by continuous eye contact, and this can increase the client's agitation and paranoia.
3.This is incorrect. The client may feel threatened and become more agitated when touched. An agitated client's behavior is unpredictable, creating a risk of harm to self and others. The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and the client's risk for violence.
4.This is correct. The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and the client's risk for violence.

The Nurse Notices a Client Is Becoming Very Agitated