During a sleep history evaluation, which statement by the client requires further follow-up?

This is because assault is the threat of harm or unwanted contact, and battery is the actual physical contact without consent.

If the nurse administers the injection despite the client’s refusal, the nurse is violating the client’s autonomy and right to refuse treatment, and is committing both assault and battery.

Choice A is wrong because malice means having a deliberate intention to harm someone. The nurse may not have malice but may be acting out of ignorance or negligence.

Choice B is wrong because malpractice means a failure to meet a standard of care or conduct that causes injury or damage to a patient.

The nurse may be guilty of malpractice, but this is not the best term to describe the nurse’s action.

Choice C is wrong because negligence means a lack of care or skill that results in harm or injury.

The nurse may be negligent, but this is not the best term to describe the nurse’s action.

This outcome indicates that the client has resolved their constipation and has a regular pattern of defecation without difficulty or discomfort.

Choice A is wrong because taking a laxative daily can worsen constipation by causing dependency and reducing the natural peristalsis of the colon.

Choice C is wrong because requesting a bedpan every four hours does not necessarily mean that the client has bowel movements. It may indicate that the client has difficulty passing stool or has a sensation of incomplete emptying.

Choice D is wrong because having a bowel movement within 72 hours is still considered constipation. Constipation is diagnosed when bowel movements are associated with at least two of the following symptoms, occurring in the past three months with an onset of symptoms of at least six months: Less than three spontaneous bowel movements per week, Lumpy or hard stools from at least 25% of bowel movements.