A nurse is caring for a client who became physically aggressive and had to be placed in mechanical restraints. Which of the following actions should the nurse take while the client is in restraints?

Choice A reason: Asking why the client wants notes may seem dismissive, not addressing legal rights; stating notes are excluded is correct. Assuming curiosity is the focus risks alienating the client, critical to avoid in ensuring respectful, compliant handling of medical record requests in psychotherapy.

Choice B reason: Stating no benefit from notes is judgmental, not addressing legal access; notes are typically excluded from records. Assuming benefit assessment is appropriate risks undermining autonomy, critical to prevent in ensuring ethical, client-centered responses to psychotherapy record requests in mental health care.

Choice C reason: Therapist’s notes are often excluded from releasable records under HIPAA, as they are personal process notes. This response is legally accurate, critical for compliance, ensuring client rights to records while protecting therapeutic notes, supporting ethical practice in mental health clinic settings.

Choice D reason: Asking about treatment satisfaction deflects from the records request; stating notes are excluded is accurate. Assuming dissatisfaction is the issue risks miscommunication, potentially reducing trust, critical to avoid in ensuring clear, compliant responses to client requests for psychotherapy notes.

Choice A reason: Unleavened bread (matzah) is required during Passover in Orthodox Judaism, as leavened products are prohibited. Providing it respects dietary laws, critical for cultural sensitivity, ensuring nutritional needs, and supporting client comfort, aligning with patient-centered care principles during religious observances in healthcare settings.

Choice B reason: Chicken with cream sauce is prohibited during Passover, as Orthodox Jews avoid mixing meat and dairy (kosher laws). Unleavened bread is appropriate. Serving this risks dietary violation, causing distress, critical to avoid in ensuring culturally sensitive care for clients observing Passover in healthcare settings.

Choice C reason: Fish with fins and scales is kosher and permitted during Passover, not to be avoided. Unleavened bread aligns with Passover rules. Assuming fish avoidance risks unnecessary restriction, potentially affecting nutrition, critical to prevent in supporting dietary adherence for Orthodox Jewish clients during Passover.

Choice D reason: Lamb is permitted during Passover if kosher, not universally avoided. Unleavened bread is a dietary staple. Assuming lamb avoidance risks misaligned care, potentially causing nutritional or cultural issues, critical to avoid in ensuring respectful, adherent care for Orthodox Jewish clients observing Passover.