Difficulty: Medium
Average Score: 68%
Simulated
When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, 'What took you so long to get in here!' Which action should the nurse implement?
Correct answer
A
Rationale
Providing personal space allows the client to feel less threatened and reduces the risk of escalation. Standing in the doorway, requesting backup, or encouraging sitting may escalate the situation.