Which of the following symptoms should a nurse expect to assess in a client experiencing elevated levels of thyroid hormone? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A: Emotional lability. Elevated levels of thyroid hormone can lead to increased emotional reactivity and mood swings. This is due to the impact of thyroid hormone on neurotransmitters in the brain. Depression (B) is more commonly associated with low thyroid hormone levels. Insomnia (C) can occur with both high and low thyroid hormone levels. Restlessness (D) is more indicative of hyperthyroidism, where there is excess thyroid hormone.

Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting an individual's right to make informed decisions about their own care. Providing information empowers patients to make autonomous decisions, aligning with this principle. Beneficence focuses on doing good for the patient, nonmaleficence on avoiding harm, and justice on fairness in resource allocation. While these are important ethical principles in healthcare, they do not directly relate to the act of providing information to support patient autonomy.

Correct Answer: D

Rationale: The correct answer is D - The client is monitored by an ankle bracelet. This option allows for monitoring and tracking the client's movements without physical restraint, promoting autonomy and freedom of movement. Seclusion (A) is restrictive and isolating. Placing the client in a geriatric chair with tray (B) limits mobility and can be degrading. Soft Posey restraints (C) restrict movement and can lead to physical and psychological harm. An ankle bracelet (D) is the least restrictive option as it allows for monitoring while still allowing the client some independence and mobility.

Correct Answer: B

Rationale: The correct answer is B because education requirements for licensure and reciprocity are typically not included in the Nurse Practice Act. The Act primarily focuses on defining the scope of practice, authority of the state board, regulations, and standards for nursing practice. Education requirements are usually outlined in separate regulations or guidelines by the state board of nursing or accrediting bodies. Therefore, if a student statement mentions education requirements as part of the Nurse Practice Act, it indicates a need for further instruction as it is not accurate. A: This statement is correct as the Nurse Practice Act often includes definitions of important terms to provide clarity and understanding. C: This statement is correct as the Act does describe the scope of practice for registered nurses to ensure safe and competent care. D: This statement is correct as the Act typically outlines the general authority and powers of the state board of nursing to regulate and oversee nursing practice.

Correct Answer: A

Rationale: The correct answer is A because false imprisonment occurs when a person is unlawfully restrained. In this scenario, the client is restrained without a physician's order, which is considered unlawful. Seeking a physician's order after the client is already restrained does not justify the action. Choice B is incorrect because seclusion is a valid nursing intervention for managing disruptive behavior, as long as it is done in a safe and ethical manner. Choice C is incorrect because the nurse's actions of running after the client and convincing them to return do not constitute false imprisonment. Choice D is incorrect because preventing a client hospitalized as an involuntary admission from leaving with the help of security is a valid intervention to ensure the safety of the client and others.