A nurse is attending training on de-escalation techniques. Which of the following is a benefit of de-escalation techniques?
Prevents opioid use
Increases communication
Decreases hallucinations
Reduces restraint use
The Correct Answer is D
Choice A reason: Preventing opioid use is not a benefit of de-escalation techniques. Opioid use is a complex issue that involves biological, psychological, and social factors, and cannot be prevented by simply deescalating emotional situations. De-escalation techniques may help to calm or soothe someone who is experiencing pain or distress, but they do not address the underlying causes or consequences of opioid use.
Choice B reason: Increasing communication is not a benefit of de-escalation techniques, but a means or a strategy to achieve de-escalation. Communication is an essential skill that helps to deescalate emotional situations by listening, validating, empathizing, and problem solving with the other person. Communication can also help to prevent or reduce conflicts, misunderstandings, and aggression. However, communication is not an outcome or a result of de-escalation, but a process or a tool to facilitate de-escalation.
Choice C reason: Decreasing hallucinations is not a benefit of de-escalation techniques. Hallucinations are perceptual disturbances that involve seeing, hearing, feeling, smelling, or tasting things that are not there. Hallucinations can be caused by various factors, such as mental disorders, neurological conditions, substance use, or medication side effects. De-escalation techniques may help to manage or cope with hallucinations, but they do not treat or eliminate them.
Choice D reason: Reducing restraint use is a benefit of de-escalation techniques. Restraint use is a practice that involves restricting the movement or behavior of a person who poses a risk of harm to themselves or others. Restraint use can have negative effects on the physical and psychological wellbeing of the person, such as injuries, infections, agitation, and trauma. De-escalation techniques can help to avoid or minimize the need for restraint use by resolving or calming emotional situations in a safe and respectful manner.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Explaining the steps of a surgical procedure to a client is not unprofessional, but a professional duty of a nurse. A nurse should provide accurate and relevant information to the client about their health condition, treatment options, and expected outcomes, in order to help them make informed decisions and prepare for the procedure¹.
Choice B reason: This is incorrect. Witnessing a client consent for a surgical procedure is not unprofessional, but a professional responsibility of a nurse. A nurse should act as a witness to the client's signature on the consent form, and ensure that the consent process was conducted properly, ethically, and legally².
Choice C reason: This is the correct answer. Confirming that a client appears competent to consent to a surgical procedure is unprofessional, as it is not within the scope of practice of a nurse. A nurse cannot assess or determine the client's mental capacity or competence to consent, as this requires a medical evaluation by a physician or a psychologist³. A nurse can only observe and report the client's behavior, mood, and cognition to the health care team.
Choice D reason: This is incorrect. Verifying that a client voluntarily gave consent to a surgical procedure is not unprofessional, but a professional obligation of a nurse. A nurse should ensure that the client's consent was given freely, without any coercion, manipulation, or undue influence from others². A nurse should also respect the client's right to withdraw or change their consent at any time².
Correct Answer is A
Explanation
Choice A reason: Home care is the most appropriate resource referral for this client, as they will need skilled nursing care to perform wound care and monitor the healing process. Home care can also provide education and support for the client and their family.
Choice B reason: Assisted living is not a suitable resource referral for this client, as they do not provide skilled nursing care or wound care. Assisted living facilities are designed for clients who need assistance with activities of daily living, but not medical care.
Choice C reason: Long-term care is not a necessary resource referral for this client, as they do not have a chronic or terminal condition that requires 24hour nursing care. Long-term care facilities are intended for clients who are unable to live independently due to physical or cognitive impairments.
Choice D reason: Hospice care is not an appropriate resource referral for this client, as they do not have a terminal illness or a life expectancy of less than six months. Hospice care provides palliative care and comfort measures for clients who are dying and their families.
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