Mr. S. is a man who has not spoken for years. He is diagnosed as having paranoid schizophrenia. One day, when Ms. J., another client, was standing facing the elevator, the man approached her from behind and reached for her as if to strangle her. What is the most appropriate action for the nurse to take at this time?

B Ask other clients to assist her. C Say, 'Mr. S., that is not appropriate behavior.' A Grab Mr. S. by the arm to stop him. D Get Mr. S.'s attention and call for help.