A nurse is discussing restraints with a newly licensed nurse. Which of the following situations should the nurse identify as an acceptable indication for using restraints for a client?
Inadequate staffing ratio between clients and health care providers
Discipline for throwing chairs at staff
Continued self-destructive behavior
Refusal to take medication
The Correct Answer is C
A. Inadequate staffing ratio between clients and health care providers:
This is never a justifiable reason for restraint use; it violates patient rights and ethical standards.
B. Discipline for throwing chairs at staff:
Restraints should never be used as punishment; they are only used to prevent harm after less restrictive measures have failed.
C. Continued self-destructive behavior:
Restraints may be used when a patient poses a risk to self or others, and all less restrictive interventions have been ineffective.
D. Refusal to take medication:
Refusal alone is not justification for restraint unless refusal leads to immediate danger and court-ordered treatment applies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased appetite and weight gain
Meth typically causes appetite suppression and weight loss.
B. Increased heart rate
Meth is a potent stimulant, and tachycardia (increased heart rate) is a common and dangerous sign.
C. Low energy and decreased reaction times
These are signs of depressant use or withdrawal, not stimulant intoxication.
D. Increased sleepiness
Meth causes insomnia and hyperactivity, not sleepiness.
Correct Answer is C
Explanation
A. 30%
This underestimates relapse rates. A much higher percentage relapse within the first year.
B. 50%
Still lower than actual estimates for heavy users.
C. 70%
Research shows that 70% or more of smokers relapse within a year of quitting without comprehensive support.
D. 40%
Also lower than real-world data.
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