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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. An interprofessional team: An interprofessional team consists of multiple healthcare professionals from different fields (e.g., nurses, psychiatrists, therapists, social workers), not just nurses.

B. A professional organization: A professional organization is a governing body (e.g., the American Nurses Association) that provides education and advocacy for nurses but does not describe a nursing team.

C. A shared governance: Shared governance is a leadership model that allows nurses to have a voice in decision-making, but it does not define a team structure.

D. An intraprofessional team: An intraprofessional team consists of nurses (LPNs and RNs) working together, which accurately describes the mental health nursing team in this scenario.

A. To create a safe and healing environment for the client B. To repair and resolve the client's trauma C. To focus solely on the client's trauma history D. To minimize the client's trauma manifestations

Correct Answer is A

Explanation

A. To create a safe and healing environment for the client: Trauma-informed care (TIC) focuses on providing a supportive, safe, and empowering environment for clients who have experienced trauma. The goal is not to force resolution but to foster trust, autonomy, and recovery.

B. To repair and resolve the client's trauma: While healing may occur, TIC does not aim to "resolve" trauma directly. Instead, it emphasizes understanding the impact of trauma and reducing retraumatization.

C. To focus solely on the client's trauma history: TIC considers the trauma history but also focuses on the present needs, coping strategies, and overall well-being of the client. It does not exclusively dwell on past trauma.

D. To minimize the client's trauma manifestations: The goal is not to suppress trauma symptoms but to acknowledge them, provide appropriate care, and promote a sense of safety and control for the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

Correct Answer is D

Explanation

What is the goal of trauma-informed care?

Correct Answer is A

Explanation

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks. "How is a unit which has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.