A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Evaluate the client hourly while the restraints are applied.
Have the provider assess the client within 1 hr after applying the restraints.
Obtain a prescription for restraints on an as-needed basis.
Request that the provider renew the prescription for restraints every 8 hr.
The Correct Answer is B
The nurse should have the provider assess the client within 1 hr after applying restraints to ensure that the restraints are necessary and appropriate, and to monitor the client's physical and mental status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client's statement reflects a loss of interest and pleasure in life, which is a major symptom of clinical depression. The other statements are normal expressions of grief that do not necessarily indicate depression, although they may warrant further assessment and support from the nurse.
Correct Answer is A
Explanation
This response demonstrates empathy and respect for the client's feelings, and encourages the client to explore and express his or her emotions. It also allows the nurse to assess the client's situation and provide appropriate support and interventions.
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