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
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.

A. It is a gene variant that increases the risk for development of a specific mental illness. B. It is a gene variant that is responsible for an individual’s resilience to stress. C. It is a gene variant that is responsible for the development of a specific mental illness. D. It is a gene variant that determines an individual’s likelihood of recovering from mental illness.

Correct Answer is A

Explanation

Choice A rationale
A vulnerability gene is a gene variant that increases the risk for development of a specific mental illness. It does not guarantee that an individual will develop the illness, but it does increase their susceptibility.
Choice B rationale
A gene variant that is responsible for an individual’s resilience to stress is not typically referred to as a vulnerability gene. Resilience genes are thought to provide some protection against the development of mental illnesses.
Choice C rationale
A gene variant that is responsible for the development of a specific mental illness is not typically referred to as a vulnerability gene. While certain gene variants can increase the risk of developing a mental illness, they are usually not the sole cause. Mental illnesses are typically the result of a complex interplay of genetic, environmental, and psychological factors.
Choice D rationale

A gene variant that determines an individual’s likelihood of recovering from mental illness is not typically referred to as a vulnerability gene. Recovery from mental illness is influenced by a variety of factors, including the individual’s access to effective treatment, their level of social support, and their personal resilience.

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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 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

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Correct Answer is A

Explanation

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?

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