First I would assess the patient's orientation level to person, time, location, and situation, and then provide the appropriate reality orientation. Next in a calm voice I would reassure the patient that he/she is safe and I'm here to help. After that I would promote a therapeutic environment by asking the patient if they would like to move to a more calm location on the unit so that the pt themselves can remain calm, so to place with less external stimuli, noise, and people. what else can you do for the disoriented/clumsy patient? Would you put them on 1:1 observation?