hard · NCLEX-RN Psychosocial Integrity

Sequence the nurse's actions in order of priority from first to last to safely de-escalate the client's agitation. Base the response on this specific EHR: "setting": "Psychiatric Inpatient Unit", "client": "28-year-old male with a history of PTSD and trauma", "observation": "The client begins pacing rapidly in the hallway, clenches his fists, raises his voice, and states,.

  1. Maintain a physical distance of at least two arm-lengths and ensure clear access to an exit.
  2. Acknowledge the client's feelings of distress with a calm, low, and non-threatening tone.
  3. Offer the client a concrete, simple choice between sitting in a quiet lounge or resting in their room.
  4. Administer the ordered PRN oral lorazepam to chemically stabilize agitation.
  5. Document the agitation event, interventions implemented, and the client's response.

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