The nurse is preparing a teaching plan for a client who is in the implementation step of the teaching plan. Which of the following actions should the nurse take?

Choice A rationale
Confining a patient to a room without provisions for their care is not the best definition of false imprisonment. While it may be considered neglect or abuse, false imprisonment specifically involves restraining a person against their will without legal justification.
Choice B rationale
Restraining a patient against their will is the correct definition of false imprisonment. False imprisonment occurs when a person is intentionally confined or restrained without their consent and without legal authority.
Choice C rationale
Applying physical restraints to prevent falls is not considered false imprisonment if done with proper consent and following legal and medical guidelines. It is a safety measure, not an unlawful restraint.
Choice D rationale
Implementing a care plan without patient consent may be considered a violation of patient rights, but it does not fit the definition of false imprisonment. False imprisonment specifically involves physical restraint or confinement.

Choice A rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data and identified nursing diagnoses. It involves setting goals and determining the appropriate interventions to achieve those goals. In this scenario, the nurse is not developing a plan but rather observing the effects of an intervention that has already been implemented.
Choice B rationale
Assessment is the initial phase of the nursing process where the nurse collects and analyzes data about the client’s health status. This includes gathering information through observation, interviews, physical examinations, and diagnostic tests. In this scenario, the nurse is not collecting new data but rather observing the outcome of a previously administered medication.
Choice C rationale
Evaluation is the phase of the nursing process where the nurse assesses the client’s response to the interventions and determines whether the goals of care have been met. In this scenario, the nurse is evaluating the effectiveness of the antihypertensive medication by noting the decrease in the client’s blood pressure. This assessment helps determine if the medication is achieving the desired therapeutic effect.
Choice D rationale
Analysis is the phase of the nursing process where the nurse interprets the assessment data to identify the client’s health problems and needs. It involves critical thinking and clinical judgment to determine the underlying causes of the client’s condition. In this scenario, the nurse is not analyzing data but rather evaluating the outcome of an intervention.