A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?

Choice A reason:
The statement "Don't worry about it. Your anxiety will lessen once the massage begins" is not appropriate. This response dismisses the client's expressed discomfort and does not address their concerns. It is important to validate the client's feelings and work collaboratively to find an acceptable alternative.

Choice B reason:
The statement "I will request that the massage therapist wear gloves during your treatment" is not a suitable solution. Wearing gloves may not alleviate the client's discomfort with being touched and could still cause anxiety. It is better to explore other treatment options that do not involve physical contact.

Choice C reason:
The statement "Why don't you like to be touched by others?" is not the best approach. While understanding the client's reasons can be helpful, this question may come across as intrusive or judgmental. It is more important to respect the client's boundaries and preferences.

Choice D reason:
The statement "I will tell your provider that you would like a treatment other than massage" is the correct response. This response acknowledges the client's discomfort and takes appropriate action to find an alternative treatment that the client is comfortable with. It shows respect for the client's preferences and ensures their needs are met.

Choice A Reason:
Suggesting the client make a list of things that make him angry can be a useful therapeutic activity, but it is not the priority action in a situation where the client is currently being aggressive. The immediate concern is to ensure the safety of the client and others. Once the situation is de-escalated, exploring triggers and coping strategies can be beneficial.

Choice B Reason:
Role modeling healthy ways to express anger is an important part of long-term therapeutic intervention, but it is not the priority when a client is actively aggressive. The nurse's immediate priority should be to assess the risk of harm and take steps to ensure safety. Role modeling can be incorporated into the care plan once the immediate threat is managed.

Choice C Reason:
Asking the client if he intends to harm others is the priority action. This assessment helps determine the level of risk and the necessary interventions to ensure safety. Understanding the client's intentions allows the nurse to take appropriate measures, such as initiating de-escalation techniques or seeking additional support. Safety is the primary concern in managing aggressive behavior.

Choice D Reason:
Assisting the client to explore techniques to reduce stress is a valuable intervention for managing aggression in the long term. However, it is not the immediate priority when the client is currently aggressive. The nurse must first ensure the safety of all individuals involved before focusing on stress reduction techniques.