At 3 a.m., when less restrictive methods fail, a physician orders restraints for an angry, aggressive client. To meet Joint Commission standards, at what time and by whom should a nurse expect an in-person client evaluation?
A. No later than 8 a.m., by a licensed independent practitioner or a clinical nurse specialist
B. No later than 4 a.m., by a physician or a licensed independent practitioner (LIP)
C. No later than 3:30 a.m., by a physician or the client's case manager
D. No later than 6 a.m., by the psychiatrist or a clinical nurse specialist
B
To meet Joint Commission standards, an in-person evaluation by a physician or LIP should be conducted within 1 hour of the initiation of restraints.
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