A newly hospitalized client is demonstrating anxiety and stress. What

A newly hospitalized client is demonstrating anxiety and stress. What intervention can the nurse plan to help this client?

1. Explain all procedures in detail before performing them.
2. Let the client make the majority of decisions about the plan of care.
3. Control the environment of healing.
4. Demonstrate staff competence by using multiple nurses for care.

ANSWER

Correct Answer: 3
Rationale 1: Explaining all procedures in detail may overwhelm the client. Using short, clear sentences and explaining only enough to satisfy the client is a better plan.
Rationale 2: A client who is ill cannot be expected to make the majority of decisions about the plan of care, but should be allowed as much autonomy and choice as can be arranged and tolerated.
Rationale 3: The nurse is in charge of the environment of healing and should take responsibility for limiting noise, dimming lights at night, using minimal numbers of nurses to care for one client, and keeping the area clean and comfortable.
Rationale 4: Using multiple nurses for care can increase anxiety.