When a client is about to lose control, the extra staff who come to help commonly stay at a distance from the client unless asked to move closer by the nurse who is talking to the client. What statement best explains the primary rationale for staying at a distance initially?
1. The client is more likely to act out if there is an audience, even additional staff.
2. The nurse talking to the client makes the decisions about other staff actions.
3. The client is likely to perceive others as being closer than they are and feel threatened.
4. When the extra staff is visible, the client is less likely to regain self-control.

3. The client is likely to perceive others as being closer than they are and feel threatened

Explanation:

To "lose control", refers to a state of inability to maintain one's calm and composure, in addition to losing the ability to judge a situation or act and decide rationally.

When in such a state, an individual may act violently or impulsively. Such a state of mind is accompanied by very high levels of anxiety and uneasiness.

In the given case, the client is undergoing such a state as a consequence of which there is high level of anxiety as well as agitation. In such turbulence state, it is advisable for the staff to maintain some distance from the client so as to ease the client and calm him down.

Since in such a state of high intensity, an individual is likely to perceive others closer to him than they actually are, which may augment the anxiety levels.

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