How should a nurse handle a client with delirium who threatens to throw an object?

Setting limits in a calm and clear manner is crucial when managing a client with delirium who is exhibiting aggression or threatening behavior. This approach is effective because it establishes boundaries and communicates acceptable behavior without escalating the situation. By stating that hitting is not allowed, the nurse reiterates safety both for the client and those around them, while also maintaining control of the environment.

The calm demeanor of the nurse is essential in this scenario; it helps to de-escalate potential aggression and sets a tone that conveys authority and concern for safety. This approach offers a structured response to the threat, which can help the client feel more secure and less anxious in a chaotic mental state.

In contrast, ignoring the threat might increase the risk of harm, as the behavior could escalate without intervention. Sending the client to their room for a time-out may lead to further agitation and can also feel punitive, especially for someone who is already experiencing confusion and disorientation due to delirium. Threatening to call security can escalate the situation, as it may induce fear or panic in the client, making them more agitated rather than calming them. Therefore, calmly setting limits is the best practice for managing threats of aggression in this context.