One evening, Lizbeth suddenly begins running up and down the hall. She strips off her clothing and strikes out widely at anyone she sees. All of the following interventions would be appropriate except:
  1. Restrain the patient.
  2. Call for the assistance of at least three staff members.
  3. Clear the area of other patients.
  4. Call the nurse for the administration of a prn drug.
Explanation
Answer: A - Applying restraints is only appropriate after other measures fail to protect the client. The care plan must include measure to protect the client and prevent harm to others.
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