Which nursing intervention demonstrates false imp

Question 1 of 5

Which nursing intervention demonstrates false imprisonment?

A. A confused and combative patient says, 'I’m getting out of here, and no one can stop me' The nurse restrains this patient without a health care provider’s order and then promptly obtains an order B. A patient has been irritating and attention-seeking much of the day A nurse escorts the patient down the hall saying, 'Stay in your room, or you’ll be put in seclusion' C. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit The nurse rushes after the patient and convinces the patient to return to the unit D. An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility A nurse calls the security team and uses established protocols to prevent the patient from leaving

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A new staff nurse completes an orientation to the psychiatric unit This nurse will expect to ask an advanced practice nurse to perform which action for patients?

A. Perform mental health assessment interviews B. Prescribe psychotropic medication C. Establish therapeutic relationships D. Individualize nursing care plans

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?

A. I can always trust my family' B. It seems like I always have bad luck' C. You never know who will turn against you' D. I hear evil voices that tell me to do bad things'

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

QSEN refers to:

A. Qualitative Standardized Excellence in Nursing B. Quality and Safety Education for Nurses C. Quantitative Effectiveness in Nursing D. Quick Standards Essential for Nurses

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

When the nurse asks the client to restate the following in his or her own words, which sensorium and intellectual process is the nurse attempting to identify? The nurse states, 'A stitch in time saves nine.'

A. The client's orientation B. The client's memory C. The client's ability to concentrate D. The client's ability to use abstract thinking

Correct Answer: D

Rationale: When the nurse states, 'A stitch in time saves nine,' and asks the client to restate it in his or her own words, the nurse is assessing the client's ability to use abstract thinking. The client's orientation is recognizing person, place, and time. The client's memory, both recent and remote, can be assessed by asking the client questions that have verifiable answers. The client's ability to concentrate can be assessed by asking the client to perform certain tasks including spelling the word 'world' backward.

Which nursing intervention demonstrates false imprisonment?

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