Which strategy can a nurse use to reduce aggressive behaviors in a client with a neurocognitive disorder?

Choosing to identify nursing staff members whom the client prefers is a highly effective strategy for reducing aggressive behaviors in a client with a neurocognitive disorder. This approach fosters a sense of safety and comfort for the client, which can significantly decrease feelings of anxiety or agitation that may lead to aggression. When clients engage with familiar caregivers, they are more likely to experience a sense of trust and stability, which is critical in managing their behavioral responses.

Building a therapeutic relationship with preferred staff can enhance communication and responsiveness to the client's needs, further alleviating frustration or misinterpretations that could trigger aggression. This personalized approach tends to create a more calming environment tailored to the client’s preferences and past positive interactions, supporting their overall well-being.

Other strategies such as medication adjustments, while potentially useful, may not specifically address the underlying causes of aggressive behavior related to personal interactions. Removing all environmental stimuli might also not be practical, as some level of sensory input is necessary for a healthy engagement with the world. Implementing strict schedules can contribute to structure, but this method may inadvertently increase resistance and agitation if the client feels overwhelmed or confined by rigid routines. Thus, focusing on the interpersonal dynamics by recognizing and utilizing preferred staff is a more compassionate and effective intervention in this context.