What is an appropriate initial response for a nurse when a client begins to display signs of agitation?

Choosing to attempt to soothe the client through redirection is a highly appropriate initial response when a client exhibits signs of agitation. This technique involves engaging the person in a calming activity or conversation that can help distract them from their agitation. Redirection can effectively de-escalate the situation by shifting the individual’s focus away from their distress and towards a more positive interaction. In individuals with Alzheimer’s disease or other forms of dementia, maintaining a calm and composed demeanor is vital, as it can help create a reassuring environment that may alleviate feelings of anxiety or confusion.

This approach also aligns with person-centered care principles, which emphasize understanding the unique experiences of each individual and tailoring responses based on their specific needs and current state. Additionally, using redirection encourages communication and engagement, which can help improve the person’s emotional state and promote a sense of safety and security.

In contrast, clearing the room of all distractions might lead to feelings of isolation or increased anxiety in the client. Similarly, the use of physical restraints can exacerbate distress and is generally avoided unless absolutely necessary for safety. Calling an emergency code should be reserved for more critical situations where the client poses a risk to themselves or others, making redirection a far more appropriate first step in managing agitation.