A nurse is caring for a client who has acute pulmonary edema. Which of the following is the priority nursing intervention?

Choice A reason: Publicly confronting coworkers when conflict arises is not an appropriate strategy for managing compassion fatigue. This approach can escalate tension, create hostility, and worsen workplace stress. Compassion fatigue is already associated with emotional exhaustion and decreased resilience, so aggressive confrontation only compounds the problem. Healthy conflict resolution involves private, respectful communication and structured mediation, not public confrontation.

Choice B reason: Engaging in regular physical exercise is the correct answer because physical activity reduces stress hormones, improves mood through endorphin release, and enhances overall resilience. Exercise also promotes better sleep and energy regulation, which are critical in preventing burnout and compassion fatigue. Nurses who maintain physical wellness are better equipped to handle the emotional demands of patient care.

Choice C reason: Encouraging a passive communication style is counterproductive. Passive communication leads to suppressed emotions, unresolved conflicts, and feelings of powerlessness, all of which worsen compassion fatigue. Effective communication in healthcare requires assertiveness, clarity, and respect, ensuring that nurses can advocate for themselves and their patients without internalizing stress.

Choice D reason: Establishing a strong employee code of conduct is important for organizational culture but does not directly address compassion fatigue. Codes of conduct regulate professional behavior and ethics, but they do not provide personal coping mechanisms or stress-relief strategies. While valuable for workplace harmony, they are not a primary intervention for compassion fatigue.

Choice A reason: Encouraging the client to rest during the day is not appropriate. Daytime rest can worsen nighttime wakefulness and wandering. Clients with Alzheimer’s benefit from structured daytime activity to promote nighttime sleep.

Choice B reason: Asking the client why they continue to get out of bed is ineffective. Clients with Alzheimer’s often cannot provide logical explanations due to cognitive decline. This approach does not enhance safety.

Choice C reason: Moving the mattress to the floor is correct because it reduces the risk of injury if the client attempts to get out of bed or falls. This is a practical safety intervention for clients who wander or are restless at night.

Choice D reason: Keeping a television on at night introduces noise and light, which can increase agitation and confusion. It disrupts sleep and does not prevent wandering.