A client is upset that the doctor will not increase his pain medication and is now pacing up and down the hall, angrily mumbling to himself. Which nurse will be most successful at de-escalating the client? The nurse who…

A: Speaking loudly can escalate the patient’s agitation and is not recommended. A calm and soothing tone is more effective.

B: Ensuring adequate space between the nurse and the patient helps maintain safety and reduces the risk of physical harm.

C: Approaching the patient in a calm manner helps de-escalate the situation and provides reassurance to the patient.

D: Locking the patient in their room can increase their agitation and feelings of isolation. It should only be considered if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.

E: Providing a detailed explanation of unit policies is not appropriate in the moment of crisis. The focus should be on immediate de-escalation and ensuring safety.

A: Placing cleaning supplies under the sink is not safe as it makes them accessible to the client, increasing the risk of accidental poisoning. Cleaning supplies should be stored in locked cabinets.

B: Installing extra locks at the top of the exit doors can prevent the client from wandering outside unsupervised, which is a common safety concern for individuals with Alzheimer’s disease.

C: Installing lighting above the stairs improves visibility and reduces the risk of falls, which is crucial for maintaining safety in the home environment.

D: Placing the client’s mattress on the floor can prevent injuries from falls out of bed, which is a practical safety measure for clients with Alzheimer’s disease who may be prone to wandering or disorientation at night.

E: Placing rugs over electrical cords is not recommended as it can create tripping hazards. Instead, electrical cords should be secured along walls or under furniture to prevent falls.