Which nursing intervention constitutes false imprisonment?
A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order.
A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.
A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit.
A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.
The Correct Answer is B
A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.
This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.
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Related Questions
Correct Answer is C
Explanation
The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.
Correct Answer is D
Explanation
To address the client’s cultural needs, the most appropriate nursing action would be to ask the client directly about their specific cultural needs and preferences. This allows the nurse to provide care that is tailored to the individual client and respects their cultural beliefs and practices.
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