Author Question: A client is very anxious and states, I am so stressed. Why do these factors affect the client's ... (Read 47 times)

stephzh · **on:** Jul 23, 2018

A client is very anxious and states, I am so stressed. Why do these factors affect the client's safety?

A) Stress increases retention of information
B) Stress affects interpersonal relationships
C) Stress increases concern about hazards
D) Stress tends to narrow the attention span

Question 2

In light of the failure of alternatives, a nurse has been forced to physically restrain an agitated client. Which of the following actions should the nurse perform when applying and maintaining the restraints?

A) Tie the client's hand restraint to the bed frame rather than the side rail.
B) Obtain a physician's order for the restraints within 24 hours.
C) Ensure the client is under continuous surveillance while restrained.
D) Choose a restraint device that best minimizes the client's mobility.

wfdfwc23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Stressful situations tend to narrow a person's attention span and make him or her more prone to accidents. Stress does not increase retention of information or concern about hazards. Although stress may affect interpersonal relationships, that is not the same as safety.

Answer to Question 2

Ans: A
Restraints should be tied to the frame of the bed rather than to the side rails. A physician's order is needed for restraints, except in emergencies when an order must be obtained within one hour of application. Frequent assessment of the client is needed, but continuous surveillance is not necessarily required. The least restrictive type of device that allows the greatest mobility, while still ensuring safety, is chosen.