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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

A. The right to refuse care B. The right to self-determination and making decisions about their own healthcare C. The right to receive care without any input or involvement in decision-making D. The right to make decisions on behalf of the healthcare provider

Correct Answer is B

Explanation

A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.

B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.

C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.

D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

What is the definition of patient autonomy?

Correct Answer is B

Explanation

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

Which of the following is a strategy to reduce nursing burnout?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?