A nurse is caring for a client who is exhibiting increased agitation. The nurse offered toileting, lowered the lights in the client's room and closed door to client's room.
Complete the following sentence by using the lists of options.
The nurse is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
False Imprisonment: This refers to the unlawful restraint of an individual's freedom of movement. By applying wrist restraints without a clear and immediate order from a provider or without proper justification, the nurse could be restricting the client's freedom of movement inappropriately.
Applying wrist restraints to the client: This action is a key factor in the potential for false imprisonment. Restraints should be used only when necessary and with proper authorization and documentation, particularly in non-emergency situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Protective isolation could be managed by any qualified RN, LPN, or AP depending on the complexity.
B. A client actively dying and requiring IV pain medication needs specialized assessment and pain management, which is appropriate for an RN.
C. A client 3 days postoperative requires ongoing care that can be managed by an LPN with supervision.
D. Frequent ambulation is a task that can be managed by an AP, though supervision may be needed.
Correct Answer is C
Explanation
Rationale:
A. "What do you have against me? It must be something or you wouldn't be criticizing my care." is defensive and confrontational, which is not appropriate for assertive communication.
B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." is also defensive and shifts the focus away from addressing the concern directly.
C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" is an assertive response that acknowledges the concern and seeks constructive feedback.
D. "I am at a loss for words. I always do my best to give good care to my clients." is not assertive as it does not address the concern directly or invite constructive discussion.
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