A registered nurse (RN) is supervising the 7:00 p.m. to 7:00 a.m. shift in a long-term care facility. Two aides call in sick and cannot be replaced, leaving the shift "short-handed"
The RN instructs the licensed practical nurse (LPN) to administer prescribed sleeping pills or narcotic analgesics to any restless client so that clients will require less care and be less likely to wander or get up out of bed unassisted while the limited staff are busy elsewhere. This intervention is considered to be: a. chemical restraint and therefore unethical
b. upholding the ethical principle of beneficence
c. compliant with the principle of least restrictive alternative
d. promoting the principle of utilitarianism
A
Administering chemical restraints to clients for the sole purpose of reducing the amount of care needed is unethical. Chemical restraints should never be used as a substitute for close nursing attention and supervision.
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