California Certified Nursing Assistant (CNA) Practice Exam

What should a nursing assistant do when caring for an extremely agitated client?

1. Yell back to assert authority

2. Leave the room to avoid escalation

3. Speak calmly in an authoritative and neutral manner

4. Ignore the client's behavior

The correct answer is: Speak calmly in an authoritative and neutral manner

When caring for an extremely agitated client, speaking calmly in an authoritative and neutral manner is essential for de-escalating the situation. This approach helps to provide reassurance to the client and establishes a sense of safety and control. A calm demeanor can often defuse tension and help the client feel more at ease, decreasing the likelihood of further agitation. Using an authoritative tone conveys confidence, which can instill trust in the client. Furthermore, maintaining a neutral tone prevents the situation from becoming more heated, allowing the nursing assistant to effectively communicate and address the client's needs without escalating emotions. This is particularly important in healthcare environments, where maintaining a therapeutic relationship is crucial for effective care. In contrast, yelling back would likely provoke further agitation, leaving the client more distressed. Leaving the room might be interpreted as abandoning the client in their time of need, which could increase feelings of fear and insecurity. Ignoring the client's behavior could lead to a lack of intervention during a critical time, allowing their agitation to escalate further without necessary support. Hence, a calm and composed approach is vital for managing such situations effectively.