Which of the following statements best define the term "restraint"

Physical or chemical means or device that restricts client's freedom to and ability to move about

The involuntary confinement of a patient alone in a room or area from which the patient is physically prevented from leaving.

Pharmacological interventions for management of acute behavioral emergencies

Safety measures to prevent a threatened or attempted suicide or some serious bodily injury

Answer and Explanation

The Correct Answer is A

A. Physical or chemical means or device that restricts client's freedom to and ability to move about is the most accurate definition of restraint. This includes any method or device used to prevent a patient from moving freely, such as physical devices (like straps or handcuffs) or chemical restraints (medications used to sedate or calm the patient).
B. The involuntary confinement of a patient alone in a room or area from which the patient is physically prevented from leaving refers to seclusion, not restraints. Seclusion is a form of isolation, often used when a patient is a danger to themselves or others, but it is distinct from restraints.
C. Pharmacological interventions for management of acute behavioral emergencies refers to the use of medication, but this is not specifically a restraint. Restraints involve preventing movement or controlling behavior through either physical or chemical means, but this definition is more about the use of medication in emergencies rather than restricting movement.
D. Safety measures to prevent a threatened or attempted suicide or some serious bodily injury describes precautionary measures rather than the definition of restraint itself. Restraints are about restricting movement, not necessarily about preventing injury or harm directly.

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Correct Answer is C

Explanation

A. Lewy body disease is a progressive neurological disorder that affects cognition, movement, and behavior. However, it is primarily characterized by symptoms like visual hallucinations, fluctuating cognitive abilities, and Parkinsonism, not primarily uncontrolled movements as in Huntington's disease.
B. Traumatic brain injury (TBI) refers to damage to the brain due to external physical force, such as from a fall or accident. While TBI can lead to cognitive and emotional changes, it does not cause the uncontrolled movements seen in Huntington's disease.
C. Huntington chorea is a progressive brain disorder caused by a genetic mutation. It is characterized by uncontrolled movements (chorea), emotional problems, and cognitive dysfunction. It primarily affects movement, mood, and cognitive function over time.
D. Alzheimer's disease is a progressive neurodegenerative disease primarily characterized by memory loss, confusion, and cognitive decline. It does not typically cause uncontrolled movements like those seen in Huntington's disease.

A. Limit conversations and redirect to complete ADLS B. Use short, simple words and phrases C. Confront patient's delusions and provide reality orientation D. Talk with the patient about abstract ideas

Correct Answer is B

Explanation

A. Limit conversations and redirect to complete ADLs may be too restrictive and does not support therapeutic communication. While redirection can be helpful, limiting conversations may increase confusion and isolation in patients with Alzheimer's disease.
B. Use short, simple words and phrases is the most effective communication strategy. Patients with Alzheimer's disease often have difficulty processing complex information, so clear, simple, and concise language helps them better understand and reduces frustration.
C. Confront patient’s delusions and provide reality orientation is not recommended. Confronting delusions can lead to increased agitation and distress. A more supportive approach, such as using validation therapy or gentle redirection, is typically more therapeutic.
D. Talk with the patient about abstract ideas is not appropriate. Individuals with Alzheimer's often have difficulty understanding abstract concepts. Concrete, straightforward communication is more effective for maintaining engagement and reducing confusion.

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Which of the following statements best define the term "restraint"

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Naxlex Comprehensive Predictor Exams

Progressive brain disorder that causes uncontrolled movements, emotional problems, and cognitive dysfunction.

Correct Answer is C

Explanation

Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?

Correct Answer is B

Explanation

A patient diagnosed with moderate dementia consistently appears to be distorting the truth resulting in his wife asking, "What should I do when he lies to me about unimportant things?" Upon what rationale should the nurse's response be based?

Goals and desired outcomes for an older adult patient experiencing delirium caused by fever and dehydration will focus on what?

The nurse in the Emergency Department is taking a history from a family accompanying a child with suspicious traumatic injuries. The nurse should

Which of the following dementia-related brain disorders is associated with chronic alcoholism?

A mother tells the nurse during an admission interview that her 2-year-old, who has numerous bruises, has fallen down stairs frequently. The mother is able to provide few vague details. The nurse evaluates this as:

All of the following medications can be used for alcohol withdrawal except

The nursing action most likely to be effective in improving the level of orientation of a client experiencing dementia is:

Which of the following is not characteristic of cognitive impairment?