Author Question: When providing care for a client who has been restrained, which of the following is the nurse's ... (Read 35 times)

big1devin · **on:** Jul 19, 2018

When providing care for a client who has been restrained, which of the following is the nurse's priority?

A) Helping the client understand the rationale for the restraints
B) Ensuring that the client learns about the consequences of violence
C) Reassuring other clients on the unit that they are safe
D) Ensuring the client's safety while restrained

Question 2

Which of the following clients most clearly warrants the use of seclusion or restraints?

A) A client who has stated his intention not to take his scheduled psychotropic medications
B) A client who slapped a fellow client and has threatened to do so again
C) A client who has angrily stormed out of a therapy session and shut the door to her room
D) A client who adamantly refuses to cooperate with the nurse's attempts to perform an assessment

sylvia · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
When a client requires restraints or seclusion, the priority aspect of nursing care is ensuring that the client does not experience injury while restrained. This requires frequent, vigilant assessment.

Answer to Question 2

Ans: B
Seclusion and restraints are used as measures of last resort in response to prevent clients from harming themselves or others. These measures are not used to force compliance with treatment or care.