💊 NCLEX-RN Exam Prep

A client with a history of emotional dysregulation becomes increasingly agitated during a group therapy session, clenching their fists and raising their voice. Which nursing intervention is most appropriate to de-escalate the situation while maintaining the therapeutic environment?

A Tell the client to calm down immediately or they will be removed from the group.
B Ask the client to step out of the group with the nurse to discuss their feelings privately.
C Ignore the behavior, as acknowledging it might escalate the client further.
D Administer a PRN sedative immediately to prevent further escalation.

✓ Correct Answer: Option B

Removing the client to a private space allows for de-escalation without disrupting the group or shaming the client. It provides an opportunity for therapeutic communication and helps the client regain control.

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