What should a nurse do when a client with generalized anxiety disorder begins pacing and showing physical signs of distress?

Walking with the client while setting physical limits on her behavior is the most appropriate response in this situation. When a client with generalized anxiety disorder exhibits signs of physical distress and begins pacing, it indicates that they may be experiencing heightened anxiety levels. Engaging in a calming, supportive manner by walking alongside the client can offer reassurance and help them feel less isolated during this distressing moment.

This approach also allows the nurse to maintain a safe environment while providing a calming presence. By establishing physical limits, the nurse helps to create a sense of structure and control, which can be beneficial for someone experiencing anxiety. This intervention promotes safety and supports the client in managing their anxiety more effectively, as it allows for the observation of their behavior while still being present to assist if needed.

Other options, such as leaving the client alone, are less effective because individuals with anxiety often benefit from the presence of supportive figures rather than isolation. Administering a tranquilizer immediately may not address the underlying issues and could risk sedation, which may not be appropriate in this context. Similarly, calling for security could escalate the situation or create feelings of panic, which is counterproductive to the goal of calming the client and assisting them in coping with their anxiety.