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
DBT is a type of psychotherapy that was originally developed to treat individuals with borderline personality disorder (BPD) but has since been used to treat a variety of mental health conditions. One of the core components of DBT is teaching clients skills to manage intense emotions and tolerate distressing situations.
These skills include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. By learning and practicing these skills, individuals can better manage their emotions and cope with difficult situations without resorting to harmful behaviors.
Behavior therapy is a type of therapy that focuses on modifying behavior through reinforcement and conditioning techniques. Milieu therapy involves using the environment to promote positive behavior and social interaction. Cognitive therapy focuses on identifying and changing negative thought patterns. While these therapies may address emotions and distress, they do not have the same specific focus on emotion modulation and distress tolerance as DBT.
Correct Answer is B
Explanation
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
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