A client was restrained following a violent outburst in which she hit another client in the face and has just been let out of restraints. How did the nurse decide it was time to let the client out of restraints?
A) The nurse assessed that the client was shamed and embarrassed by the behavior.
B) The nurse assessed that the client had regained an adequate level of self-control.
C) Following hospital polices closely will provide the guidance for ending the use of restraints.
D) The psychiatrist did not write an order for continued use of restraints.
B
You might also like to view...
The nurse working in an obstetrician's office receives a call from a client who is 36 weeks pregnant saying she just had a sudden gush of fluid and thinks her water broke. The nurse's best response is:
1. "Rest, avoid sexual intercourse, and wait for contractions to begin." 2. "Go to the Labor and Delivery unit." 3. To ask the client if she feels the baby moving. 4. "Wait by the telephone, and I will call you back in two hours to check on you."
The nurse is caring for a young female patient who is 5 weeks pregnant. What statement made by the nurse about the use of antidepressants during pregnancy is most accurate?
A) "Antidepressants are used very cautiously during pregnancy and only when benefit outweighs risk." B) "Antidepressants are contraindicated and must be discontinued if pregnancy occurs." C) "Antidepressants must be chosen carefully because only a few are safe during pregnancy." D) "Most antidepressants are safe during pregnancy but those that are contraindicated should be avoided."
The patient is postoperative following a prostatectomy. The nurse notes urine leakage around the suprapubic tube. The nurse should:
A) Give meticulous aseptic care to and around the suprapubic tube. B) Call the urologist immediately. C) Remove the suprapubic tube. D) Administer antispasmodic drugs as ordered.
The leadership profile that places the most importance on charismatic/value-based, team-oriented, and self-protective leader behaviors is
a. Confucian Asia b. Southern Asia c. Latin America d. Latin Europe