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 B
Explanation
A. This is a premature conclusion. While Alzheimer's disease is a possibility, it's essential to rule out other potential causes before making a diagnosis.
B. A comprehensive evaluation can help identify the underlying cause of the symptoms, which could be Alzheimer's disease, other forms of dementia, or even treatable conditions like vitamin deficiencies or thyroid problems.
C. Admission to a nursing home is premature and may not be necessary. The appropriate level of care will depend on the diagnosis and severity of the symptoms.
D. While some memory changes are normal with aging, the described symptoms are more severe than typical age-related forgetfulness. It's important to investigate the cause to determine if there are any underlying medical conditions or cognitive impairments.
Correct Answer is A
Explanation
A. This is the primary goal of the first phase of depression treatment. It focuses on stabilizing the client's condition and alleviating the most distressing symptoms, such as sadness, loss of interest, and changes in sleep and appetite.
B. While medication is often part of the treatment plan, it's not the primary focus of the initial phase. The goal is to address the symptoms first.
C. This is more relevant to the later stages of treatment when the client's condition has stabilized.
D. This is too narrow a focus. The goal is to address the underlying depression and its associated symptoms, not just specific behaviors.
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