A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

The client must be calm and cooperative.

The provider who prescribed the restraints must be present to assess the client before the restraints can be removed.

The client must verbalize remorse for their behavior.

The client only verbalizes anger toward the staff.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The client must be calm and cooperative. This is the most important criterion for removing physical restraints. Restraints are used to prevent patients from causing harm to themselves or others. Once the patient is calm and cooperative, it indicates that the risk of harm has decreased. The goal is always to use the least restrictive measures and to remove restraints as soon as possible.
Choice B rationale
The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. This is not necessarily true. While a provider’s order is required to initiate restraints, the decision to remove them can often be made by the nurse based on their assessment of the patient.
Choice C rationale
The client must verbalize remorse for their behavior. This is not a requirement for removing restraints. The primary concern is the safety of the patient and others, not whether the patient expresses remorse.
Choice D rationale

The client only verbalizes anger toward the staff. If the client is still expressing anger, it may not be safe to remove the restraints. However, verbalizing anger alone is not a sufficient reason to keep a patient in restraints.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale: This is a closed-ended question focused on comprehension, not emotional insight. It assesses understanding of treatment steps but does not invite exploration of feelings or emotional context.

Choice B rationale: This question targets informational needs and resource access. While supportive, it does not prompt the client to reflect on or express emotional states or internal experiences.

Choice C rationale: Asking about coping skills gathers behavioral data. It may indirectly touch on emotional regulation but does not directly invite clarification or expression of current feelings.

Choice D rationale: This is a reflection statement that mirrors the client’s emotional experience. It encourages the client to explore and clarify their feelings about support and success, aligning with therapeutic communication principles.

A. Anticipatory B. Complicated C. Disenfranchised D. Traumatic

Correct Answer is A

Explanation

Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time

accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?

Correct Answer is D

Explanation

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

Correct Answer is A

Explanation

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for a patient who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

A nurse is educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?

A nurse is examining the records of several patients. Which patient should the nurse identify as eligible for Medicaid coverage?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?