Which of the following symptoms should a nurse associate with increased levels of thyroid- stimulating hormone (TSH) in a newly admitted client? Select all that apply.

Correct Answer: A

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

Correct Answer: A

Rationale: The correct response is A, which involves refusing to give any information to the caller and citing rules of confidentiality. As a psychiatric nurse, maintaining confidentiality is crucial to ensure the privacy and rights of the individual seeking treatment. Providing information about a client without their consent can breach confidentiality and violate ethical standards. Therefore, by declining to disclose any information to the caller, the nurse upholds the legal and ethical obligations of safeguarding client confidentiality.

Correct Answer: B

Rationale: Option B exemplifies both assault and battery. Assault occurs when the nurse threatens to tie down the client, creating a fear of harm or unwanted physical contact. Battery then occurs when the nurse proceeds to actually tie down the client against their wishes, resulting in the unwanted physical contact. Both assault (threatening to tie down) and battery (physically tying down) are present in this situation.

Correct Answer: C

Rationale: Competency is a legal term that refers to a person's ability to make rational decisions. It is not determined based on a client's compliance with treatment or the medical opinion of a physician. Competency is essential for informed consent and respecting a client's autonomy. A competent client is able to understand information presented to them, appreciate the potential consequences of their decisions, and make reasoned choices. It is important for healthcare professionals to assess a client's competency when making healthcare decisions in collaboration with the client. Refusal of medication alone does not automatically indicate incompetency, as competency is a broader concept relating to decision-making abilities.

Correct Answer: A

Rationale: Threatening a client with restraints is considered a form of assault, which is the intentional act of causing someone to fear that they will be harmed. Even if the nurse does not physically carry out the threat, the act of making the threat itself constitutes assault. Nurses have a duty to provide care in a safe and therapeutic manner, and threatening a client with restraints goes against the principles of beneficence and nonmaleficence in nursing practice. Legal actions can be taken against the nurse for engaging in such behavior, as it violates the ethical standards and can harm the trusting relationship between the nurse and the client.