A charge nurse is teaching a group of nursing staff about the use of client restraints. Which of the following statements by the nursing staff Indicates an understanding of the teaching?

"I should document an assessment of the client every 15 minutes."

"The initial prescription for the client needs to be obtained within 36 hours."

"I should obtain consent from a family member for client restraints."

Restraints can be prescribed for the client on a PRN basis."

Answer and Explanation

The Correct Answer is A

A. Clients in restraints require frequent assessment and documentation, typically every 15 to 30 minutes, to ensure safety and monitor for complications.
B. The initial restraint order must be obtained promptly, usually within 1 hour, not 36 hours.
C. Consent must be obtained from the client or their legal guardian, not just a family member.
D. Restraints cannot be prescribed on a PRN (as needed) basis; orders must be specific and time-limited.

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Correct Answer is C

Explanation

A.Pain when chewing is more related to temporomandibular joint involvement and may require a referral to a dietitianor speech-language pathologistfor swallowing issues.
B.A support group referral would be more appropriate for a social workeror mental health professional, not an occupational therapist.
C.Requiring assistance with completing oral hygieneindicates difficulty with fine motor skills and daily living tasks—core areas of focus for occupational therapists. They help clients adapt and regain independence in performing self-care activities.
D.Difficulty ambulating with a walker would be addressed by a physical therapist, who specializes in mobility and gait training.

A. A registered dietitian B. A respiratory therapist C. A speech-language pathologist D. An occupational therapist

Correct Answer is D

Explanation

A.A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B.A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.

C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.

D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.

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A charge nurse is teaching a group of nursing staff about the use of client restraints. Which of the following statements by the nursing staff Indicates an understanding of the teaching?

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