A nurse assesses a client with psychotic symptoms and determines that the client likely poses a safety threat and needs vest restraints. The client is adamantly opposed to this. What would be the best nursing action?
A) Contact the physician and obtain necessary orders
B) Restrain the client with vest restraints
C) Ask a family member to come in to supervise the client
D) Apply wrist restraints instead of vest restraints
A
Feedback:
If a nurse feels that a client needs to be restrained, the nurse should inform the physician and obtain necessary orders. The nurse should also discuss this with the client's family members and ask their opinion. Applying a wrist restraint instead of a vest restraint is inappropriate if a vest restraint is genuinely necessary. It would be inappropriate to delegate this aspect of care to a family member.
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