When the nurse enters the room, the adult client is agitated and cursi

QUESTION

When the nurse enters the room, the adult client is agitated and cursing. How should the nurse respond to this situation?

1. Ignore the behavior and don’t speak to the client.
2. Address the client by name and state, “You must stop behaving in this way.”
3. Leave the room as the client may be dangerous.
4. Address the client by name, stating “You seem upset. Would you like to talk?”

ANSWER:

Correct Answer: 4

The nurse needs to determine what is bothering the client and to acknowledge the client’s mood. The best option is “You seem upset. Would you like to talk?” Telling the client to stop behaving in this way is demeaning and is treating the client like a child. Ignoring the behavior or leaving the room does not address the situation and only delays the time when action must be taken.