A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:
A . Demand that she relax
B . Ask what is the problem
C . Stand or sit next to her
D . Give her something to do
Answer: C
Explanation:
(A) This nursing action is too controlling and authoritative. It could increase the client’s anxiety level.
(B) In her anxiety state, the client cannot rationally identify a problem.
(C) This nursing action conveys a message of caring and security.
(D) Giving the client a task would increase her anxiety. This would be a late nursing action.