A middle-aged female was admitted to the inpatient psychiatric unit with the diagnosis of acute mania. Her husband states she has not slept or eaten for 3 days. He reports that she is very agitated and has been fighting with the neighbors
He also states that she stopped her lithium last week. Which intervention is a violation of her rights based on the bill of rights for clients? a. administering lithium or other prescribed medications
b. reducing the sensory stimulation in the environment
c. providing verbal redirection when the client uses foul language
d. maintaining this client in seclusion
D
Maintaining the client in seclusion is a violation of the client's rights. As stated in the bill of rights for clients, the client has the right to freedom from restraint and seclusion. Reducing the sensory stimulation in the environment, although appearing to be similar, is much less restrictive and does not violate the client's rights.
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A. "If they last more than 60 seconds or become regular, come in." B. "Oh, you are just having what are called Braxton Hicks contractions." C. "Pregnant women often experience this type of contraction." D. "You should come in to the clinic as soon as possible today."
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a. "I should report any complaints of soreness to the nurse." b. "I should watch for indications that the patient has difficulties using the cane." c. "I should let the nurse or PT know if the cane doesn't seem to fit correctly." d. "I should teach the patient how to walk with the cane."
In addition to the nurse, what other key people are involved in the evaluation phase of the nursing process?
a. nurse managers b. patient and his family c. patient and her physician d. all health care professionals involved with the patient's care
An elderly client receives temazepam (Restoril) for sleep. Which assessment data is indicative of a potentially serious complication?
1. The client reports a dry mouth. 2. The client becomes agitated. 3. The client sleeps for 1 hour longer than usual. 4. The client reports a decrease in appetite.