A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Battery

False imprisonment

Assault

Libel

Answer and Explanation

The Correct Answer is A

A.   Battery involves unauthorized or harmful physical contact, which administering the injection without consent would constitute.
B.   False imprisonment involves restricting a person's freedom of movement unlawfully, which doesn't apply in this scenario.
C.   Assault involves the threat of unwanted or harmful contact.
D.   Libel refers to written defamation or false statements that damage someone's reputation, which is not relevant in this situation involving administering medication.

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Correct Answer is B

Explanation

A: Right-sided flank pain and diaphoresis could indicate a kidney stone or infection, which is painful but not immediately life-threatening.

B: Shortness of breath combined with pain in the neck and shoulder could suggest a myocardial infarction (heart attack), which is a medical emergency requiring immediate attention.

C: Active bleeding from a puncture wound is concerning and requires prompt intervention, but it may not be as immediately life-threatening as a potential heart attack.

D: A raised red skin rash could be a sign of an allergic reaction or infection. While it may require medical attention, it is not as urgent as a potential myocardial infarction.

A. Instruct the AP to request assistance when unsure about a task. B. Demonstrate the proper client transfer technique for the AP. C. Help the AP assist the client with the transfer. D. Refer the AP to the facility procedure manual.

Correct Answer is C

Explanation

A. Instructing the AP to request assistance when unsure about a task is important for future situations, but it does not immediately address the current incorrect transfer, which could pose a risk to the client.
B. Demonstrating the proper client transfer technique for the AP directly addresses the immediate issue, ensuring the client is safely transferred and the AP learns the correct method through observation and practice.
C. Helping the AP assist the client with the transfer ensures the client's safety in the moment, but it does not provide the AP with the knowledge or skills needed to perform the task correctly in the future.
D. Referring the AP to the facility procedure manual is useful for long-term learning, but it does not provide the immediate guidance needed to correct the current unsafe transfer.

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A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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