A nurse is caring for a client with dementia who frequently becomes agitated during evening hours and begins shouting at staff members. Which approach is the most appropriate behavioral management technique for the nurse to implement?
Engage the client in a purposeful, calming activity such as sorting or folding towels.
Administer a sedative to prevent escalation of the behavior.
Redirect the client by agreeing with their shouting to reduce agitation.
Place the client in a quiet room and use physical restraints to increase safety.
Behavioral management techniques focus on identifying triggers, reducing stimuli, and using patient-centered approaches to manage agitation. Redirecting the client by engaging them in a calming activity (e.g., folding towels) can help divert their attention from the source of distress and reduce agitation. Validating the client’s feelings without reinforcing disorganized thoughts communicates empathy and understanding. Placing physical restraints or administering medications should be reserved as last-line measures, as they may escalate distress or come with unnecessary risks.
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Psychosocial Integrity
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