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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
Correct Answer is ["A","B","E"]
Explanation
These are all important measures to take when working with a client with a history of anger and aggression. Avoiding wearing necklaces can help prevent injury in case of an aggressive outburst. Knowing the layout of the facility can help staff quickly and safely respond to any incidents. Providing immediate verbal feedback for escalating behavior can help de-escalate the situation and prevent further aggression
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