A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written. Immediately after safely secluding the patient, which action is the nurse's priority?
a. Complete the physical assessment.
b. Notify the health care provider to obtain a seclusion order.
c. Document the incident objectively in the patient's medical record.
d. Explain to the patient that seclusion will be discontinued when self-control is regained
ANS: B
Emergency seclusion can be effected by a credentialed nurse but must be followed by securing a medical order within a period of time specified by the state and the agency. The incorrect options are not immediately necessary from a legal standpoint. See related audience response question.
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