A nurse overhears assistive personnel (AP) in the cafeteria discussing a client's diagnosis of anorexia nervosa.
The nurse should inform the AP that they have breached which of the following legal acts?

Choice A rationale

Placing a client in seclusion involves isolating them in a safe area to prevent harm to themselves or others. While seclusion may be necessary if de-escalation fails and the client poses an immediate threat, it should not be the first action. Less restrictive interventions should be attempted first to address the client's agitation and potential aggression.

Choice B rationale

Verbal de-escalation techniques are the initial and least restrictive interventions for managing a client who is threatening harm. These techniques involve using calm communication, active listening, empathy, and setting clear limits to help the client regain control and reduce their agitation without resorting to more restrictive measures.

Choice C rationale

Offering medication to calm the client may be considered if verbal de-escalation is ineffective and the client's agitation escalates. However, it is not the first action. A thorough assessment of the client's condition and the reason for their agitation should precede medication administration, and it should be used in conjunction with other de-escalation strategies.

Choice D rationale

Arranging for a critical incident debriefing with the staff is an important step after a crisis situation has been resolved to review the event, support staff, and identify areas for improvement. However, it is not the immediate action to take when a client is actively threatening harm to staff. The immediate priority is to ensure the safety of the client and staff.

Choice A rationale

Respecting the client's autonomy is paramount in nursing practice. If a client explicitly states they do not want visitors, the nurse should communicate this directly to the sibling. This upholds the client's right to make decisions about their care and interactions.

Choice B rationale

While the provider may be involved in the client's overall care, directly referring the sibling regarding visitation preferences bypasses the nurse's role in communicating the client's wishes. The nurse has a responsibility to act on the client's stated preferences.

Choice C rationale

Encouraging the client to see the sibling might undermine the client's expressed wishes and feelings. The nurse should first respect the client's decision and explore the reasons behind it before suggesting a visit.

Choice D rationale

Arranging a visit in the dayroom without the client's consent disregards their autonomy and right to privacy. The client has the right to decide who they interact with and where those interactions occur.