Difficulty: Medium
Average Score: 67%
Simulated
A nurse is planning care for a client who has been readmitted to an acute mental health unit. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Use verbal intervention to assess the client's behavior. This is the best action because it allows the nurse to actively engage with the client, assess their behavior, and potentially de-escalate the situation through effective communication. Standing in front of the patient (B) may be perceived as confrontational. Ignoring escalating behavior (C) can lead to a worsening situation. Approaching the client with security (D) may escalate the situation further. Verbal intervention provides an opportunity for the nurse to establish rapport and gather information to provide appropriate care.