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.
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Related Questions
Correct Answer is D
Explanation
A. "Reinforce the importance of treatment to a client who speaks a language different from the nurse." Effective communication requires using an interpreter rather than reinforcing information in a language the client may not understand.
B. "Minimize contact with a client who is angry." Avoiding an angry client can damage trust. The nurse should use therapeutic communication techniques to address their concerns.
C. "Use clinical terminology to help a client better understand their diagnosis." Clinical terminology can be confusing. The nurse should use simple, clear language to explain medical concepts.
D. "Fulfill a promise by allowing a client to visit with family members." Keeping promises builds trust and demonstrates reliability, a key component of the nurse-client relationship.
Correct Answer is C
Explanation
A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.
B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.
C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.
D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.
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