Which option reflects a general criterion for restraining a patient?
1. The patient's inability to care for himself or herself
2. The patient's refusal to take psychotropic medications as prescribed
3. The patient's violent but nonthreatening behavior toward others
4. The patient's immediate ability to harm self or others
4
Rationale: The only legal criteria that permits use of restraints is when the individual's behavior presents a significant risk of harm to self or others.
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During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
1. Encouraging adequate hydration 2. Promotion of a diet high in protein 3. Restriction of activities 4. Rapid weaning of pain medications
Education for the client with rheumatoid arthritis would include which of the following?
a. Wear protective clothing and sunscreen when going out in the sun. b. Stay in bed most of the day to maintain strength. c. Take a warm shower to relieve joint stiffness and pain. d. Do isometric exercises throughout the day.
The nurse decides it would be beneficial to the client to allow the client's infant granddaughter to visit before the client's scheduled heart transplant. Before implementing this intervention the nurse should collaborate with which of the following?
A. Client and Family B. Other nursing staff on the unit C. Security department D. Hospital administration E. This is not a collaborative intervention so no collaboration will be needed prior to implementation
The physical examination assists in
A) performing procedures. B) determining a diagnosis. C) obtaining the past history. D) developing a plan.