A nurse is caring for a client recently admitted to a mental health unit for severe anxiety. The client appears tense and avoids eye contact. Which of the following actions by the nurse is the MOST effective in promoting a therapeutic environment for this client?
Ensure the room is tidy and the lighting is subdued to promote physical calmness.
Leave the client alone for an extended period to provide them with personal space.
Immediately encourage the client to verbalize their feelings and fears.
Sit with the client in silence, maintaining an open and non-threatening posture.
The correct action is to sit with the client in silence using an open posture. This therapeutic technique conveys presence, empathy, and acceptance without demanding verbal interaction, which can be overwhelming for a client with severe anxiety. While a calm physical space is a component of a therapeutic environment, the nurse's interpersonal actions are paramount. Immediately encouraging verbalization may increase anxiety, and leaving the client alone could be perceived as neglect.
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NCLEX RN
Psychosocial Integrity
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