A nurse is caring for a client who has named a person to serve as his health care proxy. The client talks about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

A. Instruct the client to sit down and stop pacing: Instructing the client to sit down and stop pacing may escalate the client's anxiety and agitation. It's important to provide support and assistance rather than giving orders that could exacerbate the situation.
B. Have a staff member escort the client to her room: Forcing the client to go to her room may increase feelings of being trapped or controlled, potentially worsening the anxiety. It's important to respect the client's autonomy and provide support in a less restrictive manner.
C. Allow the client to pace alone until physically tired: While it's important to allow clients some degree of autonomy, pacing alone may not effectively address the client's escalating anxiety. The nurse should remain engaged and offer support during this time.
D. Walk with the client at a gradually slower pace: This is the most appropriate action. Walking alongside the client allows the nurse to provide support, demonstrate empathy, and potentially de-escalate the situation. Gradually slowing the pace can help the client regulate their own emotions and decrease anxiety. It also provides an opportunity for therapeutic communication and assessment of the client's needs.

A. "I will wear gloves when removing food from the freezer": This statement demonstrates understanding of the need to protect the hands from cold exposure, which can trigger Raynaud's disease symptoms. Wearing gloves when handling cold objects, such as food from the freezer, helps minimize the risk of a vasospastic episode.
B. "I will take my medications at the first sign of an attack": This statement indicates a misunderstanding of the appropriate use of medications for Raynaud's disease. While medications such as calcium channel blockers may be prescribed to prevent or reduce the frequency and severity of attacks, they are typically taken regularly as part of ongoing management rather than at the first sign of symptoms. This client may need additional education on the proper use of medications for Raynaud's disease.
C. "I will try to anticipate and avoid stressful situations when possible": Stress can exacerbate symptoms of Raynaud's disease by triggering vasospasm, so anticipating and avoiding stressful situations is a proactive strategy to help prevent attacks. This statement reflects an understanding of the importance of stress management in managing the condition.
D. "I will complete the smoking cessation program I started": Smoking is a significant risk factor for Raynaud's disease and can worsen symptoms by constricting blood vessels. Committing to a smoking cessation program demonstrates the client's recognition of the importance of lifestyle modifications in managing the condition.