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 B
Explanation
A. 5 to 10 hours: A close approximation but less accurate than the typical 6 to 12 hours reported for many hallucinogens like LSD.
B. 6 to 12 hours: The effects of common hallucinogens such as LSD and psilocybin can last 6 to 12 hours, depending on dosage and substance.
C. 2 to 4 hours: This duration aligns more with some stimulants or shorter-acting drugs, not most hallucinogens.
D. 1 to 2 hours: Too short for hallucinogenic effects; may be confused with fast-acting inhalants or some sedatives.
Correct Answer is D
Explanation
A. co-dependency
This refers to maladaptive emotional or behavioral relationships, often enabling someone else's addiction-not the actual need for a substance.
B. detoxification
This is the process of eliminating a substance from the body, not a description of the state of needing it.
C. withdrawal
Withdrawal is the physical and psychological symptoms experienced after stopping a substance, not the ongoing need to continue using.
D. dependence
Dependence refers to the compulsion to use a substance to achieve effects or avoid withdrawal, and can be physical, psychological, or both.
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