A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?

A. Give the client more than one choice for resolving the conflict. While providing choices can be beneficial in some situations, it is not a direct action to ensure immediate environmental safety when a client is escalating aggressively.
B. Move toward the client using an aggressive stance. This approach is inappropriate and can escalate the situation further. A calm and non-threatening demeanor is essential in managing an aggressive client.
C. Choose two staff members to represent the staff and speak to the client. Having multiple staff members engage with an agitated client can sometimes help, but it’s crucial that any interaction is done calmly and without escalating the situation.
D. Stand between the client and the doorway of the room. This is the most appropriate action to ensure safety. Positioning yourself between the client and the exit can prevent the client from leaving the room and potentially harming themselves or others while ensuring a safe space to de-escalate.

A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.