Difficulty: Medium
Average Score: 76%
Simulated
A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the clientÔÇÖs voice. Which of the following interventions should the nurse implement first?
Correct answer
C
Rationale
Verbally de-escalating the client is the first intervention, using calm communication to help the client regain control, aligning with least-restrictive principles. A, B, and D are more invasive and should be used only if de-escalation fails.