A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
Upon admission
While administering chemical or physical restraints
When a client becomes agitated
During debriefing after restraint removal
The Correct Answer is A
A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.
B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.
C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.
D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You don't have to be afraid to go. Our therapists are very understanding." This statement assumes the client is afraid and dismisses their perspective.
B. “I am not saying that you need therapy, but I am sure it will help you.” This minimizes the client’s concerns and implies that the nurse knows best.
C. “I understand that you feel like you don’t need it; however, the provider thinks it will help.”This statement dismisses the client’s feelings and shifts the focus to the provider’s opinion rather than the client’s needs.
D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy." This is an open-ended, client-centered response that encourages discussion and helps the nurse understand the client’s perspective.
Correct Answer is B
Explanation
A. SMI (Serious Mental Illness): SMI refers to chronic mental health conditions, not childhood neglect.
B. ACES (Adverse Childhood Experiences): ACES describe traumatic events in childhood, including neglect, which increase lifelong health risks.
C. MLPS (Medical-Legal Partnership Services): MLPS focuses on integrating legal assistance into healthcare, not childhood trauma.
D. SE model (Social-Ecological Model): The SE model examines how individual, relationship, community, and societal factors impact health but does not define childhood neglect.
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