A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

The NHS provides comprehensive health care services to all residents, which includes hospital, physician, and mental health care. It is primarily funded through general taxation, ensuring that such services are largely free at the point of use for individuals residing in England. This system emphasizes the right to access care without discrimination and within certain time limits for categories like emergency and planned hospital care. For those "ordinarily resident" in England, this includes a standard benefit package that covers most health care needs, with certain exceptions like some aspects of dental and eye care.

A. Providing companionship can help reduce feelings of isolation and agitation that may be exacerbated by sundown syndrome. Presence and interaction with a supportive person can provide comfort, reassurance, and a sense of security, which may help manage anxiety and agitation during the late hours.
B. Engaging in stimulating activities in the late afternoon or evening can sometimes worsen symptoms of sundown syndrome. Instead, activities should be calming and relaxing as excessive stimulation can
increase agitation and confusion. It’s better to plan stimulating activities earlier in the day.
C. Maintaining a familiar routine helps provide structure and predictability, which can be comforting for individuals with dementia. Consistent routines can help reduce confusion and anxiety, especially during the times when sundown syndrome symptoms are most pronounced.
D. While reminding the client about bedtime may seem like a good strategy, it can sometimes lead to frustration or increased agitation if the client is not ready for sleep or is confused. It is generally more effective to create a calming environment and use soothing routines rather than directly reminding the client of bedtime.
E. Reducing environmental stimulation, such as minimizing noise, bright lights, and other distractions, can help create a calm and peaceful environment. This approach can help prevent overstimulation, which is known to exacerbate sundown syndrome symptoms.