1. Before leaving the room of a confused client, the nurse notes that a half bow knot was
used to attach the client's wrist restraints to the movable portion of the client's bed
frame. What action should the nurse take
...
1. Before leaving the room of a confused client, the nurse notes that a half bow knot was
used to attach the client's wrist restraints to the movable portion of the client's bed
frame. What action should the nurse take before leaving the room?
a) Ensure that the restraints are snug against the client's wrists.
b) Move the ties so the restraints are secured to the side rails.
c) Ensure that the knot can be quickly released.
d) Tie the knot with a double turn or square knot.
2. When gathering for a group therapy session at 1400 hours, a female client complains
to the nurse that a smoking break has not been allowed all day. The nurse responds that
15-minute breaks were called over the unit intercom after breakfast and after lunch. The
nurse is using what communication technique in responding to the client?
a) Doubt
b) Observation
c) Confrontation
d) Reflection
3. The nurse is interviewing a client with schizophrenia. Which client behavior requires
immediate intervention?
a) Lip smacking and frequent eye blinking
b) Shuffling gait and stooped posture
c) Rocks back and forth in the chair
d) Muscle spasms of the back and neck
4. A female client with rheumatoid arthritis (RA) comes to the clinic complaining of
joint pain and swelling. The client has been taking prednisone (Deltasone) and
ibuprofen (Motrin Extra Strength) every day. To assist the client with self-management
of her pain, which information should the nurse obtain?
a) Presence of bruising, weakness, or fatigue
b) Therapeutic exercise included in daily routine.
c) Average amount of protein eaten daily
d) Existence of gastrointestinal discomfort
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