Crucial Exams

NCLEX RN Practice Question

During a night shift on a psychiatric unit, several clients are awake and appear restless and agitated. A nurse notices one client pacing near the nurses’ station, clenching their fists. The client appears visibly tense and avoids eye contact. What intervention should the nurse prioritize to promote a therapeutic environment?

  • Offer the client access to a quiet, private room and avoid addressing their pacing behavior.

  • Approach the client calmly, use an open posture, and ask if they would like to discuss how they are feeling.

  • Observe the client discreetly but maintain a distance to avoid provoking them.

  • Administer a prescribed sedative to the client to prevent potential violent behavior.

NCLEX RN
Psychosocial Integrity
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