A client is informed by the nurse that they must take their medication, and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?
The nurse informs the client that the behavior will not be tolerated and will be addressed by the psychiatrist.
The nurse throws the medication in the trash and documents the client refuses the medication.
The nurse pushes the client, and the client falls to the floor and sustains a nosebleed.
The nurse goes to the client's room and applies restraints, then forces the medication in the client's mouth.
The Correct Answer is D
Falsely imprisoning a client involves restricting their freedom and movement against their will without proper legal authority or justification. Option D demonstrates false imprisonment because the nurse applies restraints to restrict the client's movement and then forces the medication into the client's mouth, essentially depriving the client of their right to refuse treatment.
Options A, B, and C are not examples of false imprisonment:
A. The nurse informing the client that the behavior will not be tolerated and will be addressed by the psychiatrist is a response to the client's inappropriate behavior. It does not involve restricting the client's freedom or movement.
B. The nurse throwing the medication in the trash and documenting the client's refusal is an appropriate response to the client's refusal of medication. It respects the client's right to refuse treatment.
C. The nurse pushing the client and causing them to fall to the floor, resulting in a nosebleed, is an example of physical assault and battery, not false imprisonment. It is an inappropriate and harmful action by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To calculate the amount of naloxone to administer, you can use the following formula:
Amount to administer (mL) = Total dose required (mg) / Concentration of drug (mg/mL)
Given:
Total dose required = 0.4 mg
Concentration of drug = 0.2 mg/mL
Let's calculate the amount to administer:
Amount to administer (mL) = 0.4 mg / 0.2 mg/mL
Now, perform the calculation:
Amount to administer (mL) = 2 mL
So, the nurse should administer 2 mL of naloxone intravenously as a bolus dose to the client.
Correct Answer is B
Explanation
Explanation: The priority question the nurse should ask the client during the initial assessment is whether they feel safe in their home (Option B). This question is essential because it addresses the client's safety and well-being, particularly regarding the possibility of domestic violence or intimate partner violence.
Assessing for safety is a critical component of the initial assessment, especially for female clients, as they may be at higher risk for experiencing domestic violence or abuse. By asking about the client's safety in their home, the nurse can identify potential issues related to violence or unsafe living conditions and take appropriate actions to ensure the client's safety.
Options A, C, and D are also important assessment questions, but they are not the priority in this scenario:
A. "Do you have enough money to pay for your care today?" - This is an important question regarding the client's financial situation and ability to access healthcare. However, safety and well-being take precedence over financial concerns in the initial assessment.
C. "Do you take illegal street drugs?" - This question is crucial for assessing the client's substance use and potential risk factors related to drug use. However, the safety question (Option B) is more immediate and directly addresses the client's well-being.
D. "Do you obtain regular medical care?" - This question is vital for assessing the client's healthcare needs and access to healthcare services. However, the safety question (Option B) should be addressed first to ensure the client's immediate safety and well-being.
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