A nurse is caring for a client who has recently undergone a bilateral mastectomy. The client states they do not want to live anymore. Which of the following actions should the nurse take?

A. "I should expect my tears to turn a red color after using the eye drops.": Timolol does not cause red discoloration of tears. Redness of the eye may indicate irritation, allergy, or another adverse effect, so the client should report persistent redness rather than expect it as normal.

B. "I will put pressure on the corner of my eye after using the eye drops.": Applying gentle pressure to the nasolacrimal duct (inner corner of the eye) after instilling timolol reduces systemic absorption and potential systemic side effects, such as bradycardia or hypotension. This technique demonstrates proper administration and understanding of safety precautions.

C. "The drops should be placed in the center of my eye.": Eye drops should be instilled into the lower conjunctival sac, not directly onto the center of the cornea, to reduce irritation and maximize absorption. Placing drops on the cornea can cause discomfort and reduce effectiveness.

D. "These drops will improve my cloudy vision.": Timolol lowers intraocular pressure but does not restore vision or improve cloudiness caused by glaucoma. The goal of therapy is to prevent progression of vision loss, not to reverse existing damage.

A. Assault: Assault involves the threat or attempt to cause harm that makes the client fear imminent injury. Hiding the client’s car keys does not involve a threat or intimidation, so it does not meet the criteria for assault.

B. Negligence: Negligence involves failing to provide the standard of care, resulting in harm. While hiding the keys is inappropriate, it is an intentional act rather than a failure to act, so it is not classified as negligence.

C. False imprisonment: False imprisonment occurs when a person is intentionally restrained or confined without legal authority or consent. By hiding the client’s car keys to prevent them from leaving, the AP is restricting the client’s freedom of movement, fulfilling the criteria for false imprisonment.

D. Battery: Battery involves intentional physical contact that is harmful or offensive. Hiding car keys does not involve direct physical contact with the client, so it does not constitute battery.