An involuntarily committed client, when offered a dinner tray, pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?

Question

Quizplus · Accepted Answer

Setting firm limits with staff support is the most appropriate intervention. This helps to ensure the safety of the client and the staff. It is important to show solidarity and consistently reinforce the limits set. Option A (initiating forced medication) should not be the first intervention, and should only be considered when all other interventions have failed, as it is a highly restrictive measure. Option B (helping the client explore the source of anger) may not be appropriate if the client is not willing or able to do so. Option C (ignoring the act) may reinforce the behavior and does not address the safety concerns.

An Involuntarily Committed Client, When Offered a Dinner Tray, Pushes