A nurse is caring for a client diagnosed with a depressive disorder, who is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?

Choice A reason:
Walking with the client at a gradually slower pace is a therapeutic technique that can help reduce anxiety. It allows the nurse to provide a calming presence and support while also helping to decrease the client's physical agitation in a controlled manner. This approach is non-confrontational and can be very effective in managing acute anxiety symptoms.

Choice B reason:
Having a staff member escort the client to her room might seem like a reasonable option, but it could be perceived as punitive or isolating, especially if the client is not posing a risk to themselves or others. It may also escalate the client's anxiety by making them feel confined or punished.

Choice C reason:
Instructing the client to sit down and stop pacing is not advisable as it may come across as dismissive of the client's distress. It could also increase the client's anxiety by making them feel that their coping mechanism (pacing) is not acceptable, which could lead to increased agitation or resistance.

Choice D reason:
Allowing the client to pace alone until physically tired is not the best option as it does not provide any direct support or intervention from the nurse. While pacing may be a self-soothing behavior, it does not address the underlying anxiety and could potentially lead to physical exhaustion without any emotional relief.

Choice A reason:
This choice represents an authoritative approach, which may not be effective with a depressed client who is refusing therapy and ADLs. It does not offer support or understanding of the client's condition and may exacerbate feelings of helplessness or resistance to care.

Choice B reason:
While this statement offers a degree of autonomy to the client, it lacks the active encouragement and assistance that might be necessary to motivate a client who is depressed. It does not address the importance of participating in therapy or ADLs for the client's recovery.

Choice C reason:
This is the most therapeutic choice as it offers both support and a gentle nudge towards participation. It acknowledges the client's current state and provides a clear, immediate, and supportive next step. This approach can help reduce the client's feelings of being overwhelmed and can foster a sense of collaboration between the nurse and the client.

Choice D reason:
This statement, although factual, may come across as confrontational and could potentially discourage the client further. It does not provide the supportive framework that is crucial for engaging a client who is struggling with depression.