A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients on the unit. Due to short staffing the decision is made to use a restraint device to prevent this from occurring. This action may constitute

Assault

False imprisonment

Negligence

Defamation

Answer and Explanation

The Correct Answer is B

A.   Assault is the threat of bodily harm. While using restraints might cause fear, it doesn't involve a threat of immediate harm.
B.   This involves the unjustified restriction of a person's freedom of movement. Using restraints to prevent wandering when less restrictive measures haven't been exhausted might constitute false imprisonment.
C.   Negligence is the failure to provide reasonable care. While using restraints inappropriately could be considered negligence, it's not the primary legal issue in this case.
D.   Defamation involves damaging someone's reputation. This is not relevant to the situation.

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Correct Answer is A

Explanation

A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.

Correct Answer is ["weeks"]

Explanation

Fluoxetine (Prozac) is a type of antidepressant known as a Selective Serotonin Reuptake Inhibitor (SSRI). It takes time for the medication to build up in the body and start working effectively.

Typically, it takes 2 to 4 weeks before patients begin to notice improvements in their mood and symptoms.

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Naxlex Comprehensive Predictor Exams

After establishing a no-harm contract with the client, the nurse should:

Correct Answer is A

Explanation

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCI (Prozac) that the drug takes 2 to 4 ..................... to take effect.

Correct Answer is ["weeks"]

Explanation

Theories that view depression as a group of learned responses are called theories.

A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

Depression in the elderly is:

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client than the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

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