What is the next appropriate nursing action for a client exhibiting signs of anxiety and demanding to leave the hospital?

In this scenario, notifying the registered nurse (RN) is the most appropriate nursing action when a client is exhibiting signs of anxiety and expressing a desire to leave the hospital. This action is crucial because the RN has the training and authority to assess the patient's mental state, determine if the client poses a risk to themselves or others, and decide the best course of action regarding discharge.

Anxiety can significantly impair a patient’s ability to make informed decisions, and thus, the RN can conduct a thorough evaluation and provide the necessary support. This step also ensures that interventions are in place to manage the client's anxiety and address their concerns before any decisions about discharge are made.

In contrast, calling security may escalate the situation and could be perceived as threatening, which is not conducive to calming the anxious client. Helping the client pack for discharge without proper evaluation could lead to premature discharge, potentially compromising the client’s safety and well-being. Similarly, informing the client that discharge is not possible based solely on admission type without first assessing their mental health needs fails to address their immediate anxiety and concerns, which could worsen their emotional state. Therefore, notifying the RN is the best course of action to ensure safe and appropriate client care.