What is the most appropriate nursing action when an older adult client is agitated and confused?

When an older adult client is agitated and confused, the most appropriate nursing action is to request the nursing assistant to stay with the client. This approach provides direct support and supervision, ensuring the safety of the patient while addressing their immediate needs. Having a nursing assistant present can help reduce the client's agitation by providing comfort and a sense of security, allowing for a calmer environment. It enables the opportunity for closer observation and the chance to intervene as necessary if the client’s condition worsens or if they exhibit any behavior that could harm themselves or others.

Maintaining a supportive presence is critical in managing agitation and confusion, particularly in older adults who may be experiencing various cognitive issues. Staff involvement can facilitate effective communication if the client expresses feelings of distress, thereby potentially alleviating anxiety.

Engaging the family member in this scenario might not be beneficial; instead, having trained personnel present is more effective in addressing the client’s needs. Additionally, physical restraints, such as vest restraints, are usually considered a last resort, as they can increase agitation and lead to further complications. Lastly, while it is important to explain to the family that confusion can be common in older adults, it does not provide practical support to the agitated client in the moment.