An older male client who has recently been admitted to the hospital tells the practical nurse (PN) that he is unable to fall asleep, but states he does not want to take a prescribed sleeping pill because he will feel too sleepy the next day. Which action should the PN implement to help the client sleep?

A. Instruct the client to stop scaring the other clients: Telling the client to stop the behavior may increase agitation and mistrust. Clients experiencing hallucinations are responding to stimuli they believe are real, so confrontation should be avoided.

B. Offer support and reassure the client being in a safe place: Providing reassurance helps decrease anxiety and fear associated with hallucinations. Calm support conveys safety and establishes trust, which are essential in managing agitation.

C. Instruct team members to ignore the client's hallucinations: Ignoring the client’s experience can worsen distress and feelings of isolation. Staff should respond therapeutically by acknowledging the client’s emotions without reinforcing the hallucination.

D. Acknowledge that the client's perception is not real to others: This approach validates the client’s feelings while gently orienting them to reality. It helps maintain rapport and avoids reinforcing false perceptions, which supports reality testing.

E. Restrict the client to his room and apply soft wrist restraints: Restraints and isolation are unnecessary unless the client poses an immediate danger to self or others. Such measures could escalate agitation and violate ethical standards of care.

F. Use simple commands in a calm, soothing voice: Clear, calm communication helps the client process information more easily. It reduces overstimulation and conveys reassurance, aiding in the de-escalation of agitation.

A. Offer to reschedule the spirometer instruction for several hours later: Delaying instruction can increase the risk of postoperative complications such as atelectasis or pneumonia. Prompt pulmonary exercises are essential for recovery and should not be postponed unnecessarily.

B. Provide an as needed (PRN) analgesic and then encourage use of the spirometer: Administering analgesia before using the incentive spirometer allows the client to take deep, effective breaths without excessive discomfort. This promotes optimal lung expansion, prevents complications, and supports pain management.

C. Reassure the client that use of the incentive spirometer is not painful: While reassurance can reduce anxiety, it does not address the client’s actual pain. Ignoring the request for analgesia may lead to inadequate effort and ineffective pulmonary exercises.

D. Encourage the client to use the spirometer before receiving analgesia: Using the spirometer without pain control may cause discomfort and reduce the client’s participation. Providing analgesia first ensures the client can perform the exercise correctly and safely.