What is the best initial nursing intervention for an older adult with delirium acting out in a dayroom?

The best initial nursing intervention for an older adult with delirium acting out in a dayroom is to give the client one simple direction at a time. This approach is effective because individuals with delirium often experience confusion and difficulty focusing on complex tasks or multiple instructions. By providing clear and simple guidance, the caregiver helps to minimize the client's frustration and prevents potential escalation of disruptive behavior. Clear communication can help reorient the client, create a sense of safety, and facilitate compliance with instructions, ultimately leading to a calmer situation.

Offering one direction allows the caregiver to maintain engagement without overwhelming the client, which can contribute to a more positive interaction and help the client regain a sense of control.