A Nurse Notices a Client Clenching Fists Periodically and Pacing

question 29

Multiple Choice

A nurse notices a client clenching fists periodically and pacing the hallway.Which nursing interventions should the nurse implement? Select all that apply.

• A)Acknowledge the client's behavior.
• B)Initiate forced medication protocol.
• C)Assist the client to a quiet area.
• D)Initiate confinement measures.
• E)Speak with a soft and calming voice.

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Definitions:

Childhood-Onset

The initiation or appearance of symptoms or conditions during the early years of a person's life.

Adult-Onset

Conditions or diseases that begin in adulthood, as opposed to those that are congenital or that develop during childhood.

Anxiety Disorders

A group of mental health disorders characterized by significant fear or anxiety that interferes with daily activities.

Mood Disorders

Psychological disorders characterized by the elevation or lowering of a person's mood, such as depression or bipolar disorder.