The nurse in charge of a crisis team determines that a patient ...

[rayancarla1]

The nurse in charge of a crisis team determines that a patient who has lost control requires restraint. What is the most important factor in the safe and effective use of physical restraint?
 
  a. A calm, well-trained staff
  b. Taking the patient off guard
  c. Administering an antipsychotic drug
  d. Talking to the patient throughout the procedure

Question 2

An emergency room patient was very anxious after a serious car accident. Lorazepam (Ativan) 2 mg intramuscularly was administered. One hour later, which finding indicates to the nurse that the medication was effective?
 
  a. Impaired problem-solving skills
  b. Increased alertness and attention
  c. Increased verbalization and activity
  d. Reduced agitation and environmental scanning

[Carissamariew]

Answer to Question 1

A
Six to eight staff members are required. Each must know his or her role. With training, staff can carry out the various functions smoothly and calmly. Calmness helps ensure that physical contact is protective, rather than aggressive. Hospital protocols and legal requirements must be observed. The other options are either less important elements or inappropriate.

Answer to Question 2

D
Benzodiazepines mute incoming stimuli and evoke less reaction. The hyperalertness and environmental scanning that accompany high anxiety are notably decreased when the drug is effective. Impaired problem solving is a negative outcome. Because of its sedating properties, the individual might not be more alert, talkative, or active.

[rayancarla1]

TYSM

[ktidd]

Excellent