Which of the following are criteria that must be adhered to when instituting the short-term use of restraint or seclusion? Select one that does not apply.

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Question 1 of 5

Which of the following are criteria that must be adhered to when instituting the short-term use of restraint or seclusion? Select one that does not apply.

Correct Answer: B

Rationale: Short-term use of restraint or seclusion is permitted only when the client is imminently aggressive and dangerous to himself or herself or to others, and all other means of calming the client have been unsuccessful. The nurse must frequently contact the client and reassure the client that restraint is a restorative, not a punitive, procedure. If the client is physically and emotionally self-controlled, there is no reason for the client to be restrained or secluded.

Question 2 of 5

Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?

Correct Answer: D

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

Question 3 of 5

A patient says, I’m still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges? What is the nurses best response?

Correct Answer: C

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

Question 4 of 5

Documentation in a patient’s chart shows, Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, I enjoy spending time with you. Which analysis is most accurate?

Correct Answer: C

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

Question 5 of 5

A school age child tells the school nurse, Other kids call me mean names and will not sit with me at lunch. Nobody likes me. Select the nurse’s most therapeutic response.

Correct Answer: D

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

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