During a sleep study, a delta rhythm has been recorded for a client experiencing sleep apnea. The nurse recognizes that which characteristic is associated with this rhythm, and what stage of sleep activity would be documented?

Correct Answer: B

Rationale: Delta rhythm is characterized by slow, high-amplitude brain waves that occur during the deepest stage of non-REM (rapid eye movement) sleep. This stage is known as stage 3 or slow-wave sleep, which is considered the most restorative and restful stage of sleep. Delta rhythm is typically associated with the maintenance of body functions, growth, and repair processes that occur during deep sleep. In the context of a sleep study, the presence of delta rhythm indicates that the individual is experiencing deep, restorative sleep, which is essential for overall health and well-being.

Correct Answer: B

Rationale: A client threatening to commit suicide should be identified as a potential candidate for involuntary commitment. Suicidal ideation or threats pose an immediate risk to the client's life, and if they are deemed to be at imminent risk of harm to themselves, involuntary commitment may be necessary to ensure their safety and provide necessary mental health interventions. It is important for healthcare professionals to take such threats seriously and act promptly to prevent harm.

Correct Answer: A

Rationale: Informed consent is a crucial component of the healthcare process, ensuring that clients are fully aware of the treatment or procedure they will undergo and have the capacity to make decisions regarding their care. In this scenario, the client being paranoid raises significant concerns about their ability to provide valid informed consent. Paranoia may impact the individual's ability to understand the information presented to them, assess the risks and benefits of ECT, and make a decision based on their own free will. Clients must be able to comprehend the information provided to them, weigh the potential consequences, and communicate their decision without any significant impairments that could affect their judgment. Therefore, a nurse should question the validity of informed consent when a client is paranoid, as it may indicate a lack of capacity to make an informed decision.

Correct Answer: A

Rationale: State law determines how long a psychiatric facility can hold a client and under what conditions a client may be involuntarily committed for treatment. In this scenario, the inpatient client who is determined to be a danger to self is likely under an involuntary commitment status. If the client gives notice of intention to leave the hospital, the treatment team must abide by state laws regarding the duration of involuntary holds and the process for involuntary commitment. Understanding the legal framework and requirements set by state law is crucial for determining the treatment team's next actions in response to the client's desire to leave the hospital.

Correct Answer: B

Rationale: The most appropriate nursing intervention to help a client deal with the traumatic experience of being physically restrained is to talk to the client at brief but regular intervals while they are restrained (Option B). This intervention helps maintain communication and a sense of connection with the client, offering support and reassurance during a potentially distressing situation. By engaging with the client regularly, the nurse can provide comfort, monitor the client's well-being, and assess their needs. It also helps prevent feelings of isolation or abandonment that can exacerbate the trauma associated with being restrained. Administering tranquilizers before applying restraints (Option A) is not the best approach as it can have sedative effects that may not be necessary or beneficial for the client. Leaving the client alone most of the time (Option C) and checking on the client infrequently (Option D) are not recommended as they can increase feelings of distress and helplessness in the client.