A nurse physically restrains a mentally ill client without obtaining proper consent or a physician's order, despite the client not posing an immediate threat to self or others. Which intentional tort could the nurse potentially be liable for?
Assault.
Malpractice.
Negligence.
False imprisonment.
The Correct Answer is D
Choice A reason: Assault involves creating fear of being harmed, not the actual restraint of a client without justification.
Choice B reason: Malpractice is professional misconduct related to deviation from standards of care, but it does not specifically describe unlawful confinement.
Choice C reason: Negligence is the failure to act with reasonable care, but it is generally unintentional and not classified as an intentional tort.
Choice D reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification, which directly applies to restraining a client without consent or physician’s order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the client’s experience without reinforcing the hallucination. It demonstrates empathy, maintains reality orientation, and builds trust, which are crucial therapeutic approaches.
Choice B reason: Challenging hallucinations with logic is not effective and can increase client defensiveness or distress. It may also escalate paranoia rather than reduce it.
Choice C reason: Avoiding the client ignores their distress and can increase isolation. Engagement is necessary to provide reassurance and therapeutic support.
Choice D reason: Directly denying the hallucination can invalidate the client’s experience, leading to mistrust and further paranoia. A more supportive acknowledgment is preferred.
Correct Answer is A
Explanation
Choice A reason: This presentation is consistent with neuroleptic malignant syndrome (NMS), a rare but life-threatening reaction to antipsychotics characterized by severe muscle rigidity, hyperthermia, altered mental status, and autonomic dysfunction. Immediate discontinuation of the drug and emergency treatment are required.
Choice B reason: Restlessness and inability to sit still are signs of akathisia, an extrapyramidal side effect of antipsychotics. While distressing and requiring management, it is not life-threatening compared to NMS.
Choice C reason: A flat affect and reduced speech are negative symptoms of schizophrenia and may persist despite treatment. These are concerning for quality of life but do not require urgent medical intervention.
Choice D reason: Mild weight gain is a known side effect of many antipsychotics. It should be monitored and managed with lifestyle modifications but does not represent an immediate threat.
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