A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
When a client becomes agitated.
While administering chemical or physical restraints.
During debriefing after restraint removal.
Upon admission.
The Correct Answer is D
Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While CBT can help with understanding feelings and thoughts, it doesn’t provide all the answers about why something happened.
Choice B rationale
CBT focuses on thoughts and behaviors, not medical treatments.
Choice C rationale
Planning funeral and burial services is not a typical part of CBT.
Choice D rationale
CBT can help individuals cope with loss and figure out how to move forward, making this the correct answer. Please note that these rationales are based on general nursing knowledge and may not be entirely accurate for these specific questions. For the most accurate information, please refer to your nursing textbooks or speak with a healthcare professional.
Correct Answer is A
Explanation
Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time
accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.
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