A Nurse Notices a Client Clenching Fists Periodically and Pacing

question 16

Multiple Choice

A nurse notices a client clenching fists periodically and pacing the hallway.Which of the following nursing interventions would best assist the client at this time? 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:

Physical Disabilities

Conditions that limit a person's physical functionality, mobility, stamina, or dexterity.

Multiculturalism

The presence, acceptance, or promotion of multiple cultural traditions within a single community, society, or organization.

Inclusion

The practice of ensuring all individuals, regardless of their differences, have equal access to opportunities and resources in a group or society.

Social Identity

Social identity is an individual's sense of who they are based on their group memberships, where the groups people belong to are an important source of pride and self-esteem.