hard · NCLEX-RN Psychosocial Integrity
### Nurses' Notes Client with Bipolar I Disorder, current manic episode. Client is pacing rapidly, shouting at other clients, and clenching fists. Threatening to 'hit anyone who looks at me.'
The nurse implements de-escalation strategies. In what order should the actions be taken?
- Direct other clients to move to a different area
- Maintain a calm voice and use short, clear sentences
- Offer the client prescribed PRN oral haloperidol
- Direct the client to a low-stimulus quiet room
- Initiate physical restraints with a team of four staff
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