During an initial assessment, the client shouts, 'Get out of my room! I'm tired of being bothered!' Which question is most appropriate to ask first?

• A. I’ll come back later
• B. What is concerning you this morning?
• C. Why are you upset?
• D. Can you tell me your name again?

Answer: (B)

When assessing someone who is agitated, start with a therapeutic, open-ended question that invites them to share what’s troubling them. Asking “What is concerning you this morning?” does exactly that—it invites the client to express their issue in their own words, shows respect for their autonomy, and reduces defensiveness. This approach helps you quickly identify the underlying needs or distress—whether it’s pain, fear, a misunderstanding, or another problem—and guides your next steps in safety and care.

In contrast, statements like “I’ll come back later” can feel dismissive and may escalate the situation, “Why are you upset?” can put the client on the defensive, and asking for identifying information like the name can be important but doesn’t address the immediate distress and should come after rapport is established.