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Zorluk: KolayLegal Rights and Responsibilities

A client with acute delirium is severely agitated and repeatedly attempts to climb out of bed, posing a significant fall risk. The client's family member asks the nurse to apply physical restraints to prevent an injury. Which initial action should the nurse take to ensure both client safety and the protection of legal rights?

  1. Implement a less restrictive alternative, such as activating a bed alarm or moving the client closer to the nurses' station.Cevap
  2. B
    Apply soft wrist restraints and immediately contact the healthcare provider to obtain a prescription.
  3. C
    Administer a prescribed PRN sedative medication to calm the client and prevent wandering.
  4. D
    Delegate an unlicensed assistive personnel (UAP) to independently assess the client's cognitive status.

Cevap

Implement a less restrictive alternative, such as activating a bed alarm or moving the client closer to the nurses' station.
Under the legal principle of the right to the least restrictive environment, nurses are required to exhaust all alternative, non-restrictive safety measures before applying physical or chemical restraints. Using a bed alarm or moving the client closer for observation fulfills the duty to keep the client safe while legally protecting their freedom of movement.

Adım Adım Çözüm

1
Identify the core legal issue in the scenario.
The family is requesting physical restraints for a confused client to prevent falls.
Recognizing the intervention as a potential violation of the client's right to the least restrictive environment is the first step in legal and ethical nursing practice.
2
Determine the standard of care regarding restraints.
The law and facility policies mandate that less restrictive safety measures must be tried and documented before any physical or chemical restraints are used.
Restraints are a last resort due to the high risk of injury, psychological trauma, and infringement on constitutional rights.
3
Select the nursing action that aligns with this standard.
Activating a bed alarm or increasing observation (moving near the nurses' station) provides safety without illegally restricting the client's movement.
This intervention successfully balances the duty to protect the client from harm with the legal obligation to preserve their autonomy and rights.

Anahtar Kavram

Client Right to the Least Restrictive Environment
Tahmini Süre:45s
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Konular

Legal Rights and Responsibilities

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