When a client is about to lose control, the extra staff commonly stay at a distance from the client unless asked to move closer by the nurse who is talking to the client. Which of the following best explains the primary rationale for staying at a distance initially?

A The client is more likely to act out if there is an audience, even additional staff. C The client is likely to perceive others as being closer than they are and feel threatened. D When the extra staff is visible, the client is less likely to regain self-control. B The nurse talking to the client makes the decisions about other staff actions.