A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?

Ask the client if she would like a sedative to help her relax.

Inform the client that she cannot leave without a discharge prescription from the provider.

Assign a security officer to the client's room until the provider can speak with the client.

Have the client sign the Against Medical Advice form.

Answer and Explanation

The Correct Answer is B

A.   Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B.   Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C.   Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D.   Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.

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Correct Answer is D

Explanation

A. Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B. Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C. Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D. Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.

A. "A nurse can apply restraints on a PRN basis." B. "A nurse can disclose information to a family member with the client's permission." C. "A nurse is responsible for informing clients about treatment options." D. "A nurse can administer medications without consent to a client as part of a research study."

Correct Answer is B

Explanation

A. Restraints should be applied based on a specific, documented need, not on an as- needed (PRN) basis, to ensure client safety.
B. A nurse can disclose information to a family member with the client's permission. This statement respects the client's right to privacy and confidentiality.
C. It is the responsibility of the doctor and not nurses to inform clients about available treatment options.
D. Administering medications without consent for research purposes is ethically unacceptable and violates the client's rights to autonomy and informed consent.

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A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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