A nurse is discussing restraints with a newly licensed nurse. Which of the following situations should the nurse identify as an acceptable indication for using restraints for a client?
Inadequate staffing ratio between clients and health care providers
Discipline for throwing chairs at staff
Continued self-destructive behavior
Refusal to take medication
The Correct Answer is C
A. Inadequate staffing ratio between clients and health care providers:
This is never a justifiable reason for restraint use; it violates patient rights and ethical standards.
B. Discipline for throwing chairs at staff:
Restraints should never be used as punishment; they are only used to prevent harm after less restrictive measures have failed.
C. Continued self-destructive behavior:
Restraints may be used when a patient poses a risk to self or others, and all less restrictive interventions have been ineffective.
D. Refusal to take medication:
Refusal alone is not justification for restraint unless refusal leads to immediate danger and court-ordered treatment applies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inhalants:
These may produce a brief euphoric effect, but they primarily depress the CNS and can cause confusion, dizziness, or death.
B. PCP's:
PCP is a dissociative hallucinogen and does not produce stimulation or energy-it can cause detachment and aggressive behavior.
C. stimulants:
Stimulants (e.g., amphetamines, cocaine) increase CNS activity, producing energy, euphoria, and alertness.
D. hypnotics:
These are CNS depressants used to induce sleep and relaxation—not wakefulness or energy.
Correct Answer is C
Explanation
A. when a mother asks the doctor about sessions the doctor had with her 16-year-old daughter
A 16-year-old may have rights to privacy depending on the state's laws, and privileged communication is protected unless exceptions apply.
B. when a wife asks what her husband said in therapy
Spouses are not entitled to this information unless consent is given.
C. when there is an imminent danger to the patient or others and in cases of suspected child abuse
These are exceptions to confidentiality laws; providers must report imminent danger or abuse.
D. when a daughter of the patient asks about her father and that daughter is not the health care proxy or responsible person for the father
If she is not authorized, the provider cannot disclose information.
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