Derrick is a psychiatric–mental health nursewho is considering using restraint and seclusion for a client who is acting out. Which of the following is the primary guideline for the use of restraints and seclusion?
A) Use should be limited to times when a client has previously demonstrated violence and has inflicted harm to self or others.
B) Use should be limited to times when medications have been unsuccessful in deescalating a situation.
C) Use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent.
D) Use should be limited to emergency situations in which the client is demonstrating a potential to be violent.
Ans: C
Feedback:
Because of the risks of restraint and seclusion, a primary guideline is that use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent. Furthermore, restraint and seclusion should be applied only when other less restrictive methods to ensure client safety have failed. Nonphysical interventions are the first choice.
You might also like to view...
Which risk factor does the nurse assess for to determine a client's cause of anemia?
a. Antacid therapy b. Chronic alcoholism c. Congestive heart failure d. Type 2 diabetes
The validity approach of multitrait–multimethod matrix technique is based on the concepts of convergence and discriminability. What is discriminability?
A) Different method of measuring the same attributes yielding similar results B) Ability to differentiate the construct being measured from other similar concepts C) Instrument's ability to identify a case correctly D) Instrument's ability to identify noncases correctly
A client has made multiple visits to the clinic. A nurse suspects that the client may be experiencing somatic symptom disorder (SSD) based on which of the following?
A) Expressions of concern about psychological problems B) Indications that their parents were always in good health C) Reports of symptoms changing to different body systems D) Evidence of a need for social support from friends
________ is the primary course of therapy used to treat diffuse tumors.
A. Dietary supplementation B. Chemotherapy C. Radiation D. Surgery