A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
Upon admission
While administering chemical or physical restraints
When a client becomes agitated
During debriefing after restraint removal
The Correct Answer is A
A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.
B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.
C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.
D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Interrupt the client's statement to clarify thoughts or ideas. Interrupting can make the client feel unheard and disrupt the flow of conversation.
B. Show emotion when a client is disclosing sensitive information. While empathy is important, the nurse should remain professional and composed to provide objective support.
C. Keep direct eye contact to a minimum. Avoiding eye contact may appear disinterested or disengaged.
D. Avoid looking at other clients on the unit. Maintaining focus on the client demonstrates active listening, engagement, and respect.
Correct Answer is C
Explanation
A. Taking on extra shifts to compensate for staffing issues. Overworking increases stress and exhaustion, contributing to burnout rather than preventing it. Nurses need adequate rest to provide quality care.
B. Neglecting to seek support from colleagues and supervisors. Avoiding support leads to isolation and increased emotional distress. Seeking help from colleagues, supervisors, or mental health professionals is crucial in managing stress.
C. Maintaining a balanced diet and regular exercise. Proper nutrition, physical activity, and self-care help nurses maintain physical and mental well-being, reducing burnout risk.
D. Avoiding self-care activities to focus solely on work. Self-care is essential for long-term resilience in nursing. Ignoring personal well-being to prioritize work leads to exhaustion and decreased job satisfaction.
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