Why is restraining a competent patient against his or her wishes considered an intentional tort?
The nurse did not document the patient's need for restraints.
The nurse does not inform the patient that the restraints were needed.
The nurse failed to get a physician's order for restraints.
The nurse touched the patient in an unauthorized manner.
The Correct Answer is D
A. Documenting the patient's need for restraints is important but does not address the issue of restraining a competent patient against their will. This is an issue of patient rights and autonomy.
B. Not informing the patient is inappropriate, but the key issue is the lack of consent to be restrained, not just the failure to inform.
C. While failing to get a physician's order is critical for legal and safety reasons, the core issue here is the violation of the patient's autonomy and rights.
D. Restraining a competent patient against their will without consent is considered an intentional tort because it involves touching the patient in an unauthorized manner, which is a direct violation of their rights. This can result in legal action for assault or battery.
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Related Questions
Correct Answer is D
Explanation
A. Administering an enema every third day may be too infrequent to effectively manage constipation. Enemas are generally not a first-line solution for constipation prevention in patients on long-term opioid therapy.
B. Constipation is nothing to worry about; take your medicine is incorrect because constipation is a common and preventable side effect of opioid use. It should be addressed proactively.
C. Only taking morphine when experiencing the most severe pain could lead to uncontrolled pain. It is important for cancer pain to be managed consistently, and adjusting the timing of medication is not recommended.
D. Increasing fluids and high-fiber foods, and using a mild laxative is the most appropriate recommendation. It helps prevent constipation, which is a common side effect of opioid use. Mild laxatives can also be helpful, but regular bowel care is essential.
Correct Answer is D
Explanation
A. The head of the bed should be elevated to at least 30 degrees to reduce the risk of aspiration, not 45 degrees.
B. Enteral feeding is typically preferred over TPN because it preserves gut integrity and reduces the risk of complications such as infections.
C. Lipid intake should generally be monitored and controlled, but greater than 2 g/kg/day is not recommended and may lead to complications such as hyperlipidemia.
D. Excessive calorie intake, particularly from carbohydrates, can increase carbon dioxide production, leading to a rise in PaCO2 levels in mechanically ventilated patients.
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