A female client admitted to the mental health unit starts to shout and scream at the nurse. Which is the best approach for the nurse to take?

A) Scheduling the client for group therapy with other bulimic clients can be beneficial for support and shared experiences. However, it is not the highest priority intervention at the time of admission, especially if there are immediate health concerns that need to be addressed.

B) Assigning the client's care to a nurse of approximately the same age may help with rapport and understanding, but it does not directly address the critical health risks associated with bulimia nervosa. The age of the nurse is less relevant compared to the immediate medical needs of the client.

C) Assessing and reporting the client's electrolyte status to the healthcare provider is the highest priority. Clients with bulimia nervosa often experience significant electrolyte imbalances due to behaviors such as vomiting, laxative use, or excessive exercise, which can lead to serious complications such as cardiac arrhythmias. Monitoring electrolyte levels is essential for ensuring the client’s safety and guiding further treatment.

D) Monitoring the client carefully for binging activities is an important part of care, but it is secondary to addressing any immediate medical concerns. While observation is necessary to prevent harm, it should occur alongside medical assessments, particularly for electrolyte status, to ensure comprehensive care.

A) Staying quietly with the client is the best approach in this situation. By remaining present and calm, the nurse can provide a sense of safety and support. This non-confrontational presence may help the client feel more secure and reduce her agitation over time.

B) Telling the client that she is out of control may escalate her frustration and feelings of being judged. This could worsen the situation rather than help it, as it does not offer any constructive feedback or support.

C) Ignoring the client's acting out behavior is not appropriate. Acknowledging her feelings and providing support is essential, even if her behavior is challenging. Ignoring her could lead to further escalation and feelings of isolation.

D) Distracting her by offering finger foods could be an effective strategy if the client is calm enough to engage in that activity. However, if she is currently shouting and screaming, she may not be receptive to distraction techniques. Addressing her emotional state first is more critical.