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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Insisting on having their own way when playing with friends is a common behavior among children and is not necessarily related to a traumatic experience. It could be a sign of a strong personality or a phase of development where the child is learning about power and control.
Choice B rationale
Crying because they are the smallest child in their class is more likely related to self-esteem or body image issues. This behavior is not typically associated with experiencing a traumatic event like a house fire.
Choice C rationale
Being rude to siblings when things do not go their way is a common behavior among children and is not necessarily indicative of a traumatic experience. It could be a sign of frustration or difficulty managing emotions.
Choice D rationale
Making small fires in the backyard could be a sign that the child is trying to make sense of or reenact the traumatic experience of their house being destroyed by a wildfire. This behavior is a cause for concern and should be addressed with professional help.
Correct Answer is C
Explanation
Choice A rationale
Being credible, collaborative, and consistent are important qualities for a nurse, but they do not specifically address the ethical and empathetic aspects of nursing care during a pandemic.
Choice B rationale
Being transparent and honest are important, but politeness does not necessarily equate to empathy. Furthermore, this choice does not address the collaborative aspect of nursing care, which is crucial during a pandemic.
Choice C rationale
Being transparent, collaborative, and consistent are all important behaviors for providing ethical and empathetic nursing care during a pandemic. Transparency ensures that patients and their families are fully informed about their care, collaboration ensures that all members of the healthcare team are working together for the benefit of the patient, and consistency ensures that care is reliable and dependable.
Choice D rationale
While honesty and caring are important, consistency alone does not necessarily equate to ethical and empathetic care. This choice does not address the importance of transparency and collaboration in nursing care during a pandemic.
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