A nurse performed the following actions and interventions in the course of a day while caring for a
client with psychosis:
1 . Removed embroidery scissors from client's possession
2 . Arranged for client to make an appointment with a lawyer
3 . In client's presence, opened a package mailed to client
4 . Remained within arm's length of client during the shift
5 . Permitted client to refuse oral psychotropic medication
Which intervention, if any, violated a right of the client?
A. none
B. 1
C. 2
D. 3
E. 4
F. 5
ANS: A
Rationale: Actions 1 and 4 preserve the client's right to be protected against the possible impulse to
harm self or others. Action 2 preserved the client's right to legal counsel. Action 3 preserved the
client's rights to send and receive mail and be present during package inspection. Action 5 preserved
the client's right to refuse treatment.
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