During group therapy, which client requires immediate intervention from the nurse?

In a group therapy setting, a client who is yelling and shouting at others indicates a loss of control and may pose a risk to themselves or the group. This behavior can create a disruptive and potentially threatening environment, making it essential for the nurse to intervene immediately to restore safety and ensure that all participants feel secure. The nurse's priority is to address any aggressive or volatile behavior to prevent escalation, protect the clients, and reestablish a therapeutic atmosphere.

The act of yelling and shouting suggests not only emotional distress but may also signal a need for urgent support or de-escalation techniques. Providing immediate intervention can help the client express their feelings in a more constructive way, and it also protects the other group members from feeling threatened or unsafe.

Client behaviors such as repeatedly washing hands, talking over others, or requesting discharge, while requiring attention, do not pose an immediate risk to the safety of the group. These behaviors can be managed with appropriate interventions designed to support the clients in a therapeutic manner, but they do not necessitate the same level of urgency as addressing aggressive behaviors.