Which of the following is the nurse's legal responsibility when applying restraints?

Correct Answer: D

Rationale: All are legally required to justify and safely use restraints.

Correct Answer: A

Rationale: Virginia Henderson's Nature of Nursing Model, from the 1950s, defines nursing as assisting with 14 basic needs (e.g., breathing, eating) to restore independence e.g., helping a post-op patient ambulate. Nightingale focused on environment, Parse on human becoming, and Orlando on patient needs in interactions. Henderson's practical, need-based framework shaped nursing education and practice, emphasizing patient autonomy.

Correct Answer: C

Rationale: St. Clare founded the Poor Clares in 1212, the second Franciscan order, focusing on poverty and service e.g., caring for the sick. Unlike Catherine (lamp lady), Anne (Mary's mother), or Elizabeth (patron saint), Clare's work influenced nursing's religious roots, tying care to spiritual devotion.

Correct Answer: C

Rationale: Subjective data, per nursing assessment, is patient-reported e.g., anxiety as a felt emotion. Dizziness and chest pain can be observed or measured (vitals), while blue nails are visible (objective). Anxiety's internal nature makes it subjective, guiding nurses to probe feelings for comprehensive care.

Correct Answer: C

Rationale: Axillary temp requires 7 minutes e.g., skin contact time for accuracy, longer than oral (3 min) or rectal (1-2 min) due to lower heat transfer. Shorter times under-read; 10 is excessive. Nurses time this e.g., with a watch per protocol, ensuring reliable readings.