A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

A) Assist the client in expressing alternative behaviors: This action is more appropriate for later phases of the therapeutic relationship. During the orientation phase, the focus is on establishing rapport and trust rather than implementing behavioral changes.

B) Establish the responsibilities of the nurse and client: Clarifying the roles and responsibilities of both the nurse and the client is a critical task during the orientation phase. This step helps set clear expectations, promotes understanding, and creates a safe environment for the client, which is essential for effective therapeutic engagement.

C) Facilitate the client's problem-solving skills: While enhancing problem-solving skills is important in therapy, it typically occurs in later phases after trust and rapport have been established. The orientation phase is primarily about getting to know the client and their needs.

D) Determine previous coping skills used by the client: Understanding past coping mechanisms is valuable, but this exploration is more suitable for subsequent phases of the relationship. The orientation phase focuses on initial assessments and building a connection, rather than diving into the client's history of coping strategies.

A) Document the client's condition every 15 min: This is an appropriate guideline for the use of restraints. Regular monitoring and documentation are essential to ensure the client's safety and well-being, and every 15 minutes is a commonly recommended interval.

B) Attach the restraint to the bed's side rails: Restraints should not be attached to the side rails, as this can pose a risk of injury if the rails are moved. Instead, they should be secured to a stationary part of the bed frame.

C) Remove the client's restraint every 4 hr: This guideline is not appropriate. Restraints should be removed at least every 2 hours to assess the client's needs and allow for movement, unless otherwise specified by a healthcare provider.

D) Request a PRN restraint prescription for clients who are aggressive: Restraints should not be used as a PRN intervention. They require a specific order based on an assessment of the client’s condition and should only be used when less restrictive measures have failed. Regular assessment and a clear plan of care are critical for the appropriate use of restraints.