Difficulty: Medium
Average Score: 64%
Simulated
A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour. The nurse should document which of the following de-escalation techniques in the clientÔÇÖs medical record?
Correct answer
A
Rationale
A timeout allows the client to regain control in a safe space, a de-escalation technique. B and D are restrictive, and C is distraction, not de-escalation.