The nurse observes that a client is psychotic, pacing, and agitated and is making aggressive gestures. The client’s speech pattern is rapid, and the client’s effect is belligerent. Based on these observations, which is the nurse’s immediate priority of care?
1. Provide safety for the client and other clients on the unit. 2. Provide the clients on the unit with a sense of comfort and safety. 3. Assist the staff with caring for the client in a controlled environment. 4. Offer the client a less-stimulating area to calm down and gain control.
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