Which nursing intervention would be appropriate for an older adult with delirium who is acting out?

The appropriate nursing intervention for an older adult with delirium who is acting out involves giving the client one simple direction at a time in a firm, low-pitched voice. This approach is effective for several reasons.

Firstly, individuals experiencing delirium often struggle with confusion and can become easily overwhelmed by complex instructions or high levels of stimulation. By providing simple, clear directives, the nurse can facilitate better understanding and compliance, thereby reducing the potential for further agitation or confusion.

Secondly, using a firm, low-pitched voice helps to establish a calm tone, which can be reassuring for the individual and aids in de-escalating their distress. It signals authority and confidence without adding to the individual's anxiety, which is particularly important in nursing care for vulnerable populations, such as older adults with cognitive disturbances.

Moreover, this intervention supports a therapeutic environment by promoting safety and clarity, which is essential when managing patients who may exhibit challenging behaviors associated with delirium. Clear communication helps guide the patient towards compliance and can help prevent further agitation or acting out, making it the most suitable choice in this scenario.