A nurse is caring for a client who has antisocial personality disorder who requests to smoke outside of scheduled smoke breaks.
Which of the following is an appropriate response by the nurse?

Choice A rationale:

It is essential for the nurse to employ non-pharmacological interventions to manage behavioral issues in clients with Alzheimer's disease. Offering to play music is a suitable approach to distract and soothe the agitated client. Music can have a calming effect and may help reduce anxiety and agitation in clients with dementia. It is a safe and non-invasive intervention that respects the client's autonomy and preferences.

Choice B rationale:

Turning the water on and asking the client to test the temperature (choice B) may not be an appropriate initial response. This action may increase the client's agitation as it involves immediate physical contact and may not address the underlying issue of the client's distress.

Choice C rationale:

Firmly telling the client that good hygiene is important (choice C) is not a recommended approach. Using a firm tone or being authoritative can escalate the client's agitation and may not effectively address the behavioral issue. It's important to use a calm and respectful approach when caring for clients with Alzheimer's disease.

Choice D rationale:

Obtaining assistance to place mitten restraints on the client (choice D) should not be the first choice. Restraints should only be used as a last resort when other methods have failed, and they should be used in accordance with institutional policies and guidelines. Restraints can have adverse physical and psychological effects and should be avoided whenever possible.

Choice A rationale:

The charge nurse should identify the social worker as appropriate to share client information with when it involves an involuntarily committed school-age client. This choice is correct because sharing information with a social worker who is actively involved in the client's care and has a legitimate need to know is in line with ethical and legal confidentiality requirements. Confidentiality should be maintained to protect the client's privacy, but sharing information with a healthcare team member who needs it to provide appropriate care is acceptable.

Choice B rationale:

Sharing a client's medical information with the client's employer due to concerns about substance use is not appropriate without the client's explicit consent. It is important to respect the client's confidentiality unless there is a legal obligation or a safety concern. In this case, obtaining the client's permission to share such information is crucial.

Choice C rationale:

Sharing a client's medical information with their partner after the client reports intimate partner abuse should be done with caution. While there may be instances where sharing is necessary to ensure the client's safety, it should ideally be done with the client's consent and while involving appropriate authorities. In some jurisdictions, there may be mandatory reporting requirements for domestic violence, but the client's consent should still be sought when possible.

Choice D rationale:

Sharing a client's medical information with a nurse from another unit after the client commits suicide is not appropriate without a legitimate reason, such as continuity of care. In such cases, information sharing should be limited to what is necessary for the provision of care and should be in accordance with facility policies and privacy laws. The primary consideration should be maintaining confidentiality while ensuring the safety and well-being of other patients and healthcare staff.