The nurse observes an intake visit for a client with PTSD symptoms. Which actions require follow-up? Highlight the actions that undermine safety, trust, or collaborative treatment.

Nurses' Notes 1510: The clinic nurse observes an intake visit for a client with nightmares and hypervigilance after a traumatic event. The interviewer begins by demanding a detailed trauma account before discussing consent. The client becomes tense and looks toward the door. The nurse then offers a seat where the client can see the exit. The nurse explains the visit steps and states that questions may be paused. The client says that a support person may join if the client chooses. At 1518, the interviewer asks permission before discussing possible trauma reminders. The client identifies crowded rooms as a trigger and practices slow breathing. The plan states that all distress should disappear after the first counseling visit. The client says this promise feels impossible and discouraging. The nurse confirms that treatment options and likely benefits will be reviewed through shared decision-making. The interviewer next starts an unsupervised exposure exercise without an agreed treatment plan. The client asks to stop, and the nurse stops the exercise. The nurse documents that the client denies current thoughts of self-harm. Before leaving, the client selects one grounding strategy to practice at home. Follow-up with a qualified trauma-focused therapist is arranged.