Practice Question
A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?
Answer Choices:
Correct Answer:
Plan to remove the restraints as soon as the client is calm.
Rationale:
🔷 Restraints are used only as a last resort and must be discontinued as soon as the client can maintain safety.
🔷 Client rights and safety take priority, and continued use without cause may be a legal violation.
🔷 Nurses must assess and document behavior every 15 minutes to determine the earliest time to remove restraints.
🔷 Federal guidelines mandate restraint use to be time-limited and justified by the client's behavior.
🔷 De-escalation and therapeutic communication should resume immediately once the client is stable.
Want to practice more questions like this?
This question is from PN ATI Comprehensive Predictor~2023 Series which contains 171 questions.
More Questions from This Exam
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?
Answer Choices:
A nurse in an Inpatient mental health facility is reinforcing teaching with a client who signed a consent form for electroconvulsive therapy. Which of the following statements by the client indicates an understanding of the procedure?
Answer Choices:
A nurse is collecting data from a client who has heart failure. The nurse notes the client has crackles in the bases of the lungs, shortness of breath, and a respiratory rate of 24/min. Which of the following actions should the nurse take?
Answer Choices:
A nurse is caring for a client who asks why her newborn is receiving a phytonadione injection. Which of the following statements should the nurse make?
Answer Choices:
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
Answer Choices:
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2024
- Answer Choices: 4