Ms. Edstrom, 22 years old, is admitted to the psychiatric unit accompanied by the police. She is unresponsive and unaware of her surroundings. She has just smashed several storefront windows in the downtown area. The unit staff is familiar with her past psychiatric history. Ms. Edstrom is placed on close observation. After supper, the psychiatric and mental health nurse observes Ms. Edstrom trying to leave the unit. How should the nurse respond initially?
A. Accompany to a seclusion room
B. Administer chemical restraint
C. Initiate elopement protocol
D. Inform her that she is restricted to the unit