Question

A female client on the mental health unit frequently asks the nurse when she can be discharged. Then, becoming more anxious, she begins to pace the hallway. What intervention should the nurse implement first?

Answer 1

The nurse should first intervene by providing the anxious client with reassurance and information regarding her treatment plan and discharge criteria. This could alleviate her concerns and reduce the behavior of pacing.

Step-by-step explanation:

To address a female client’s anxiety about discharge and her pacing in the hallway on a mental health unit, the nurse should implement an intervention that provides assurance and information. The first approach should be to calmly address the client's concerns regarding her discharge. This can be done by taking her to a quiet space, engaging in a one-on-one conversation, and discussing her treatment plan and the criteria for discharge in a transparent manner. This type of supportive interaction may help alleviate her anxiety and redirect her focus away from pacing.

It’s essential to explain to the client that discharge will be based on her progress and readiness to manage her condition outside of the unit. Therapeutic communication techniques, such as active listening and providing clear, concise information, can contribute to a sense of involvement and control over her situation. Prior to discussing the discharge, the nurse can perform a brief assessment to identify any immediate needs that can be addressed, whether pharmacological or supportive interventions. This approach would help build trust and could potentially decrease the client's anxiety, thus lessening the behavior of pacing.