Answer to Question 1
D
This patient would hold a Western worldview and value autonomy, independence, and self-reliance. The patient would see time as linear and have an internal locus of control. Self-action would be a high priority. For the distracters, the concept of person is defined more in relationship to others, and the locus of control is self-rooted in tradition or in natural forces. The need for independence and self-reliance is far less. Tradition, fate, or other forces are seen as being in control.
Answer to Question 2
1 . E
2 . D
3 . B
4 . A
5 . F
6 . C
The patient should be removed from restraints and reintegrated to the unit in a step-wise, progressive fashion. Restraints are removed one at a time, usually with one ankle removed first. After reassessment to assure that the patient is safe to continue the release, the restraint on the wrist opposite the free ankle is removed, and after reassessment, the remaining two restraints are removed. The patient should then remain at least briefly in seclusion for further observation and assessment, then be returned to the unit, at which time close observation should continue in case the patient's condition deteriorates again amidst the greater stimulation and reduced external controls that characterize the unit proper.
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