NCLEX RN Practice Question

The correct answer is to adopt an early intervention to de-escalate the client's agitation in a safe manner. Speaking calmly and acknowledging the client's distress lowers the agitation level and demonstrates empathy, reducing the likelihood of violence. Close observation or additional security measures may be necessary but should follow attempts to de-escalate the situation. Restraining or isolating the client should be a last resort and used only when there is an imminent threat of harm. Focusing solely on observing without action risks escalation, and prematurely involving security can intensify the situation unnecessarily.