General Studies · Psychiatric Interventions
A hospitalized client with schizophrenia is showing signs of agitation and potential harm to self or others. Which nursing intervention is most appropriate to ensure immediate safety?
- 1Assess only the severity level and continue with routine care
- 2Apply mechanical restraints immediately
- 3Maintain a low-stimulation environment and closely observe for rising anxiety or agitation✓
- 4Ask the client directly, 'Have you thought about harming yourself or others?'
Correct answer
Maintain a low-stimulation environment and closely observe for rising anxiety or agitation
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