A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the

unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are

an example of which of the following torts?

A. Invasion of privacy

B. False imprisonment

C. Assault

D. Battery

A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in order to

protect myself from my roommate, who is always yelling at me and threatening me." Which of the

following actions should the nurse take?

A. Keep the client's communication confidential, but talk to the client daily, using therapeutic

communication to convince him to admit to hiding the knife.

B. Keep the client's communication confidential, but watch the client and his roommate closely.

C. Tell the client that this must be reported to the health care team because it concerns the health

and safety of the client and others.

D. Report the incident to the health care team, but do not inform the client of the intention to do so.

A nurse is caring for a client who is in mechanical restraints. Which of the following statements

should the nurse include in the documentation? (Select all that apply)

A. "Client ate most of his breakfast."

B. "Client was offered 8 oz of water every hr."

C. "Client shouted obscenities at assistive personnel."

D. "Client received chlorpromazine 15 mg by mouth at 1000."

E. "Client acted out after lunch."