The nurse on a psychiatric unit is giving an in-service about restraints to a new group of unlicensed assistive personnel. She tells them that the use of restraints has declined in recent years as a consequence of which of the following factors?

A) Studies revealing no therapeutic benefit to their use
B) Numbers of restraint-associated deaths, mostly in children and adolescents
C) Insufficient staffing to monitor clients in restraints
D) Federal legislation limiting the use of restraints to men between 18 and 45 years of age


Ans: B
Feedback:
Asphyxiation, sudden cardiac events, and suffocation frequently have been the outcome for restrained clients. In addition, an alarming number of deaths have been associated with restrain and seclusion—many of them occurring in children and adolescents.

Nursing

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A nurse cares for a male client with hypopituitarism who is prescribed testosterone hormone replacement therapy. The client asks, "How long will I need to take this medication?" How should the nurse respond?

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The nurse has been invited to present a program at the local PTA meeting on recognizing and preventing illness in children. Which of the following sets of symptoms for urinary tract infections in children does the nurse include?

1. Foul-smelling urine, elevated BP, and hematuria 2. Severe flank pain, nausea, and headache 3. Headache, hematuria, and vertigo 4. Urgency, dysuria, and fever

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The nurse is discussing the advantages over-the-counter (OTC) medications with a client. Which statements are disadvantages of OTC drugs versus prescription drugs?(Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. OTC drugs can react with foods, herbal products, and prescriptions, or with other OTC drugs. 2. A client can obtain OTC drugs more easily than prescription drugs. 3. Self-treatment is sometimes ineffective. 4. Choosing the proper medication for a specific problem can be challenging. 5. OTC drugs are more expensive than prescription drugs.

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The patient is recovering from a delivery that included a midline episiotomy. Her perineum is swollen and sore. The patient is asking for her ice pack to be refreshed. The best response from the nurse is:

1. "I'll get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I'll bring you an extra so that you can change it when you are ready."

Nursing