A nurse is caring for an older adult client with progressive dementia who has recently experienced several falls. The client's adult child is highly anxious and demands that the nurse immediately apply physical restraints to keep the client in bed. The nurse recognizes an ethical conflict between the family's request and the principle of nonmaleficence. Which of the following actions by the nurse demonstrate ethical practice and appropriate client advocacy? Select all that apply.
- Explain to the adult child that restraints are a measure of last resort after less restrictive alternatives have been exhausted.Answer
- BApply the physical restraints as requested by the family member to prioritize the client's physical safety.
- Assess the client for underlying causes of restlessness, such as pain, hypoxia, or the need to void.Answer
- DInform the adult child that severe confusion and restlessness are normal physiological parts of the aging process.
- Implement less restrictive safety measures, such as a bed alarm and placing a mat next to a low bed.Answer
- FReassure the adult child by stating, "Don't worry, we will make sure your parent never falls while they are in our care."
Answer
The correct actions are explaining the necessity of using less restrictive measures, assessing for underlying causes of restlessness, and implementing alternatives like bed alarms.
The correct actions uphold the ethical principles of nonmaleficence (avoiding harm) and beneficence (doing good). The nurse acts as an advocate by identifying the root cause of agitation, using less restrictive safety measures, and educating the family about restraint policies. All of these interventions prioritize the client's well-being and legal rights without resorting to immediate physical restriction.
Step-by-Step Solution
Key Concept
Ethical Practice: Nonmaleficence and Beneficence in Restraint Use
Estimated Time:1m 30s