A client with a court-ordered hospitalization to an inpatient psychiatric unit is responding to internal stimuli and pacing the unit. Based on this information, which intervention should the nurse include in the client's acute plan of care?

The client is exhibiting signs of psychosis (responding to internal stimuli) and psychomotor agitation (pacing). The immediate priority is to de-escalate the situation and prevent increased agitation. Allowing pacing in a safe space while decreasing environmental stimuli (e.g., dimming lights, reducing noise) helps to minimize sensory overload and provides a non-restrictive outlet for the client's energy. Orientation (B) is important but may be ineffective when a client is actively psychotic and unable to process reality-based information. Assessing for somatic symptoms (A) is not the priority for this behavioral presentation. Providing choices (D) can be beneficial but may be overwhelming during this acute phase; safety and de-escalation come first.