A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

A. Place the client in mechanical restraints: Restraints should only be used as a last resort and only when the client poses an immediate risk to themselves or others. The first priority should be to try to de-escalate the situation verbally.

B. Ask the client to describe how they are feeling: This is the most appropriate intervention. Asking the client to express their emotions helps acknowledge their feelings and can de-escalate the situation. This approach is non-threatening and allows the nurse to assess the client's state and intervene appropriately.

C. Stand directly in front of the client when speaking to them: Standing directly in front of the client can be perceived as confrontational, especially when the client is angry. It is better to stand at an angle to the client, maintaining a non-threatening stance.

D. Use therapeutic touch when addressing the client: Therapeutic touch may escalate the situation, especially if the client is already angry. It is important to maintain a safe distance and avoid physical contact until the client’s emotional state is more stable.

A. Encourage the client to reframe their perception of stress: Reframing can be a helpful strategy for less severe anxiety, but during a panic attack, the client may be too overwhelmed to engage in cognitive techniques like reframing. Immediate support is needed first.

B. Guide the client to a location that is quiet and stay with the client: This is the best intervention. A quiet environment helps reduce external stimuli, and staying with the client provides reassurance and safety, helping to calm the overwhelming anxiety during a panic attack.

C. Help the client identify factors that are contributing to the anxiety: While identifying triggers is important for long-term management, during a panic attack, the priority is immediate relief and safety. The client may not be able to engage in reflection during peak anxiety.

D. Ask questions to clarify how the client feels and what they are thinking: During a panic attack, the client is likely to be too overwhelmed to respond meaningfully to questions. The priority is to offer comfort and a calm presence rather than focusing on understanding their thoughts at that moment.