A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients on the unit. Due to short staffing the decision is made to use a restraint device to prevent this from occurring. This action may constitute
Assault
False imprisonment
Negligence
Defamation
The Correct Answer is B
A. Assault is the threat of bodily harm. While using restraints might cause fear, it doesn't involve a threat of immediate harm.
B. This involves the unjustified restriction of a person's freedom of movement. Using restraints to prevent wandering when less restrictive measures haven't been exhausted might constitute false imprisonment.
C. Negligence is the failure to provide reasonable care. While using restraints inappropriately could be considered negligence, it's not the primary legal issue in this case.
D. Defamation involves damaging someone's reputation. This is not relevant to the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It’s important for a nurse to address the behavior immediately and to establish expectations for acceptable conduct. However, while this statement is firm, it does not offer immediate guidance or intervention on how to resolve the situation or manage emotions.
B. This statement is not appropriate in this context because it incorrectly assumes the behavior was physical (hitting) rather than verbal (yelling). It also places the client on the defensive and may not
effectively address the immediate situation. Instead of focusing on why the behavior occurred, it’s more
important to manage and de-escalate the current situation first.
C. This response is punitive and does not address the immediate issue or the underlying causes of the behavior. While setting consequences may be part of a broader behavior management plan, immediate actions should focus on de-escalation and safety rather than punishment. Additionally, consequences should be proportionate and ideally involve a discussion with the client about their behavior and its impact.
D. This statement is not effective because it shifts the focus from the immediate behavior to a vague notion of disappointment, which may not address the situation constructively. It’s important for the nurse to be clear about the expectations for behavior and to provide immediate guidance on managing emotions and conflicts.
Correct Answer is ["A","C","D"]
Explanation
A. Mental health disorders, including schizophrenia, are significant risk factors for suicide.
B. Marital status is not a significant predictor of suicide risk.
C. Substance abuse is strongly linked to increased suicide risk.
D. While suicide rates are highest among older adults, it's important to note that suicide affects people of all ages.
E. While women are more likely to attempt suicide, men are more likely to complete suicide.
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