The nursing intervention that constitutes false imprisonment is: ...

[nelaaney]

The nursing intervention that constitutes false imprisonment is:
 
  a. The client is confused and combative. He insists that no one can stop him from
  leaving. The nurse restrains him without a physician's order, then seeks the order.
  b. The client has been pesky, seeking the attention of nurses in the nurses' station
  much of the day. Now the nurse escorts him to his room and tells him to stay
  there or he'll be put into seclusion.
  c. A psychotic client, admitted as an involuntary patient, runs out of the psychiatric
  unit. The nurse runs after him and succeeds in talking the client into returning to
  the unit.
  d. A client, hospitalized as an involuntary admission, attempts to leave the unit. The
  nurse calls the security team and, acting on established protocol, they prevent him
  from leaving.

Question 2

The priority intervention for the nurse working with a client with schizotypal personality disorder is
 
  a. respecting client need for social isolation.
  b. teaching the client not to dress oddly.
  c. preventing the client from violating the nurse's rights.
  d. keeping emotional distance so as not to be exploited.

[k2629]

Answer to Question 1

ANS: B
False imprisonment involves holding a competent person against his or her will. Actual force is not a
requirement of false imprisonment. The individual needs only to be placed in fear of imprisonment
by someone who has the ability to carry out the threat. The client in option A is not competent, and
the nurse is acting beneficently. The clients in options C and D have been admitted as involuntary
clients and should not be allowed to leave without permission of the treatment team.

Answer to Question 2

A
Clients with schizotypal personality disorder are eccentric and often display perceptual and
cognitive distortions. They are suspicious of others and have considerable difficulty trusting. They
become highly anxious and frightened in social situations, thus the need to respect their desire for
social isolation. Option B is not the priority intervention. Options C and D: Clients with schizotypal
personality disorder rarely engage in behaviors that violate the nurse's rights or exploit the nurse.