Kyle is a psychiatric nurse who works on an inpatient unit that maintains a regular schedule of environmental tours ("walk-arounds") by the nurses. During an environmental tour, Kyle should prioritize observing for:
A) Items that promote clients' activities of daily living and level of function
B) Clients' personal possessions
C) Objects that clients might use to harm themselves
D) Signs of rapport being established between clients
Ans: C
Feedback:
Scheduled environmental tours or "walk-arounds" of the unit help establish a safe inpatient environment. Nurses continually assess all unit spaces for objects clients might use to harm themselves or others. Safety is the priority over the other listed focuses of observation.
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