A charge nurse is making room assignments for new client admissions.
Which of the following clients should the nurse place closest to the nurse's station?

A client who has a history of dependent personality disorder.

A client who has moderate-stage Alzheimer's disease.

A client who has schizotypal personality disorder.

A client who has a history of alcohol use disorder.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A client with a history of dependent personality disorder does not necessarily require close placement to the nurse's station for safety reasons. The primary concern in this case is not related to Alzheimer's or potential wandering, so placing this client closer to the nurse's station is not warranted.

Choice B Reason: A client who has moderate-stage Alzheimer’s disease. This client should be placed closest to the nurse’s station because individuals with moderate-stage Alzheimer’s disease may experience confusion, memory loss, and wandering, which can lead to safety concerns. Close proximity to the nurse’s station allows for better supervision and prompt intervention.

Choice C rationale:

A client with schizotypal personality disorder may have unique care needs, but these typically do not require placement close to the nurse's station. The primary concern in this case is not related to the safety or wandering associated with Alzheimer's disease.

Choice D rationale:

A client with a history of alcohol use disorder may require monitoring and support but does not necessarily need to be placed close to the nurse's station solely based on this history. The primary concern is not related to Alzheimer's disease or safety due to wandering. In a healthcare setting, clients with Alzheimer's disease often experience confusion and may wander, creating a risk of harm to themselves. Placing a client with moderate-stage Alzheimer's disease close to the nurse's station allows for better supervision and prompt response to any safety concerns. Therefore, it is the most appropriate choice for close placement. .

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Correct Answer is B

Explanation

Choice A rationale:

Requesting that the provider renew the prescription for restraints every 8 hours is not the best approach. The nurse should follow the facility's policies and protocols for the use of restraints, and these policies typically require that the provider assess the client within a specific timeframe after applying restraints. The provider's assessment should occur promptly to determine the client's continued need for restraints and to address the client's safety and well-being.

Choice C rationale:

Evaluating the client hourly while the restraints are applied is not sufficient. While it's important to monitor the client, especially in terms of circulation and comfort, the provider's assessment should take place within a shorter timeframe, typically within one hour after applying the restraints. Hourly evaluations alone may not be timely enough to address the client's condition and the necessity of the restraints.

Choice D rationale:

Obtaining a prescription for restraints on an as-needed basis is not an appropriate approach. Restraints should only be used when necessary to ensure the safety of the client or others, and their use should be based on a specific assessment by the provider. Using restraints on an as-needed basis without a clear prescription can lead to ethical and legal issues and should be avoided.

A. Stop the newly licensed nurse from administering the medication. B. Assess the need for physical restraints. C. Demonstrate how to verbally de-escalate the situation. D. Discuss the purpose of the medication with the client.

Correct Answer is A

Explanation

Answer is: **Stop the newly licensed nurse from administering the medication.**

Explanation:the first step in dealing with a client who is manic and refuses treatment is to stop the nurse from administering the medication. This is because giving an injection to a patient in an agitated and manic state could be dangerous for both the patient and the nurse¹². The nurse manager should follow the principle of least restrictive intervention when handling such a situation².

The other options are incorrect because:

- Assessing the need for physical restraints is not a priority action, as it may escalate the situation and cause more harm than good¹².
- Demonstrating how to verbally de-escalate the situation is also not a priority action, as it may not be effective if the client is too agitated or irrational to listen¹².
- Discussing the purpose of the medication with the client may be helpful, but it should be done after assessing the need for physical restraints and trying other methods of communication¹².

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A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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A charge nurse is making room assignments for new client admissions.
Which of the following clients should the nurse place closest to the nurse's station?