A client underwent a procedure before the nurse verified the client's signature on the consent form. The client actually did not sign the form before the procedure. If the client is dissatisfied with the outcome of the procedure and files a suit against the health-care team, which kind of case can the client file?

Correct Answer: C

Rationale: Battery involves harmful or unwarranted contact with a client. False imprisonment is defined as the unjustifiable detention of a client such as the inappropriate use of restraint or seclusion. Negligence is an unintentional tort that involves causing harm by failing to do what a reasonable and prudent person would do in similar circumstances. Clients or families can file malpractice lawsuits in any case of injury, loss, or death.

Correct Answer: C

Rationale: In the context of behavioral health nursing, valuing autonomy is crucial as it promotes patients' independence and decision-making. Option C, discussing options with the patient and helping them weigh consequences, demonstrates respect for the patient's autonomy by involving them in the decision-making process and supporting their self-determination. Option A, suggesting one-on-one supervision for a patient with suicidal thoughts, may prioritize safety but does not directly relate to autonomy as it involves more control and monitoring by the nurse. Option B, informing the patient that the spouse will not be present during visiting hours, limits the patient's social support but does not necessarily relate to autonomy. Option D, setting limits on a patient's romantic advances, is important for professional boundaries but does not directly demonstrate valuing the patient's autonomy in decision-making. Educationally, understanding and applying the principle of autonomy in nursing practice is essential for fostering therapeutic relationships, promoting patient-centered care, and upholding ethical standards. By empowering patients to be active participants in their care, nurses can enhance outcomes and respect the individuality and dignity of each patient.

Correct Answer: C

Rationale: In the context of behavioral health nursing, it is crucial for the nurse to actively listen and seek clarification to ensure a clear understanding of the patient's concerns and feelings. Option C, "Am I correct in understanding that ...," is the most appropriate response as it demonstrates the nurse's effort to confirm their understanding before moving forward. This approach helps in avoiding misunderstandings and shows respect for the patient's perspective. Option A, "What are the common elements here," may not be as effective as it focuses more on similarities rather than seeking direct clarification on the patient's specific concerns. Option B, "Tell me again about your experiences," could be seen as dismissive or lacking attentiveness to the patient's current disclosure. Option D, "Tell me everything from the beginning," is too vague and may overwhelm the patient, hindering effective communication. In an educational context, it is important to teach nursing students the significance of active listening, empathy, and clear communication in therapeutic relationships. By choosing the appropriate response like option C, nurses can build trust with patients, promote open dialogue, and provide individualized care based on accurate information gathered through effective communication techniques.

Correct Answer: C

Rationale: In behavioral health nursing, the principle that silence can provide meaningful moments for reflection should guide the nurse in determining the extent of silence to use during patient interview sessions. This is because silence can allow patients the space and time to process their thoughts and emotions, leading to deeper insights and self-awareness. Option A, stating that a nurse is responsible for breaking silences, is incorrect as it may disrupt the patient's thought process and hinder their ability to express themselves fully. Option B, suggesting that patients withdraw if silences are prolonged, is also incorrect because some patients may actually find comfort and therapeutic value in moments of silence during a session. Option D, which mentions that silence helps patients know that what they said was understood, is not as comprehensive as option C. While acknowledging understanding is important, the primary focus during patient interviews should be on creating a supportive environment for reflection and processing. Educationally, it is crucial for nurses to understand the therapeutic potential of silence in patient interactions. By allowing moments of silence, nurses can facilitate deeper connections, enhance patient introspection, and promote therapeutic outcomes in behavioral health nursing practice.

Correct Answer: D

Rationale: In the scenario presented, the PRIORITY of care for a severely depressed client newly admitted to an inpatient psychiatric unit is safety (Option D). This choice is correct because ensuring the safety of the client is fundamental in psychiatric nursing practice, especially when dealing with individuals who are severely depressed and at risk of self-harm or suicide. Ensuring safety involves implementing measures to prevent harm to the client, such as suicide precautions, environmental safety checks, and close monitoring for any signs of self-harm. By prioritizing safety, the nurse can create a secure environment for the client to begin the therapeutic process and receive the necessary interventions to address their depression. The other options (nutrition, elimination, rest) are important aspects of care but do not take precedence over safety in this situation. While nutrition, elimination, and rest are all essential for overall well-being, they can be addressed once the client's safety is ensured. Educationally, this question emphasizes the critical thinking skills required in psychiatric nursing to prioritize care based on the client's condition and potential risks. It highlights the need for nurses to be vigilant in assessing and managing safety concerns in psychiatric settings to provide optimal care for clients experiencing mental health crises.