Question

A manic client is pacing the halls of the inpatient unit and making disruptive comments to the other clients. The nurse overhears the client say, "I know people, so you better treat me with respect!" Which of the following therapeutic nursing interventions would the nurse implement first?
1. Notify security that this client is escalating out of control and the client needs to be escorted to the client's room.
2. Tell the client that the nurse would like to give a PRN injection because the behavior is disrupting others.
3. Approach the client and say in firm voice, "That was inappropriate. Go to your room immediately."
4. Address the client and say in a calm voice, "The staff will work hard to make sure you receive proper respect here. Let's go over here and talk."

Answer

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