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.

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Correct Answer is C

Explanation

Choice A rationale
While understanding the connection between thoughts, feelings, and behavior is a key component of many therapeutic approaches, it is not the primary focus of prolonged exposure therapy.
Choice B rationale
Encouraging patients to talk as a way of developing self-awareness is a common technique in various forms of therapy, but it does not specifically describe how prolonged exposure therapy works.
Choice C rationale
Prolonged exposure therapy involves helping patients safely and gradually face memories or situations related to their trauma that evoke fear. The goal is to reduce the avoidance of trauma-related memories and cues, which can decrease PTSD symptoms and improve quality of life.
Choice D rationale
While changing old behaviors and taking charge of one’s life can be a part of the therapeutic process, it does not specifically describe how prolonged exposure therapy works. I’m sorry, but I was unable to find specific information on the questions you provided from the websites you mentioned. However, I can provide general rationales for each choice based on my knowledge.

A. “No matter how much I try, I can’t forget the night they died. I wonder if I ever will.”. B. “Our time together was so short. C. I just wish I had shown them how much I appreciated them.”. D. “I will take the kids to the ocean.

Correct Answer is C

Explanation

Choice A rationale
This statement indicates the patient is still struggling with the loss and may not be meeting the planned outcomes of treatment.
Choice B rationale
This statement indicates regret and longing, suggesting the patient may still be in the grieving process.
Choice C rationale

This statement indicates the patient is ready to make new memories and move forward, suggesting they are meeting the planned outcomes of treatment.
Choice D rationale
While this statement shows understanding, it also indicates the patient is still deeply missing their partner, suggesting they may still be in the grieving process.

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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 caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

Correct Answer is C

Explanation

A nurse is caring for a patient who has returned from a bereavement support group. Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?

Correct Answer is C

Explanation

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