Author Question: A registered nurse (RN) is supervising the 7:00 p.m. to 7:00 a.m. shift in a long-term care ... (Read 27 times)

gbarreiro · **on:** Jul 19, 2018

A registered nurse (RN) is supervising the 7:00 p.m. to 7:00 a.m. shift in a long-term care facility. Two aides call in sick and cannot be replaced, leaving the shift short-handed.

The RN instructs the licensed practical nurse (LPN) to administer prescribed sleeping pills or narcotic analgesics to any restless client so that clients will require less care and be less likely to wander or get up out of bed unassisted while the limited staff are busy elsewhere. This intervention is considered to be: a. chemical restraint and therefore unethical
b. upholding the ethical principle of beneficence
c. compliant with the principle of least restrictive alternative
d. promoting the principle of utilitarianism

Question 2

The nursing diagnosis for a patient who is depressed and suicidal at admission is risk for suicide.. The most appropriate outcome for this diagnosis at discharge from the hospital is, The patient will:

a. increase feelings of self-worth..
b. not harm self while hospitalized..
c. be able to problem solve effectively..
d. develop a trusting relationship with one staff member..

milbourne11 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Administering chemical restraints to clients for the sole purpose of reducing the amount of care needed is unethical. Chemical restraints should never be used as a substitute for close nursing attention and supervision.

Answer to Question 2

B
The outcome concerning manifestation of self-harm is directly related to the diagnosis. The other outcomes are desirable but are more appropriate for other diagnoses.