Practice Quiz

CRNE Exam Prep

Category - Professionalism

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Your client has been admitted to the psychiatric unit because she has expressed a desire to kill herself. The doctor has ordered her to be under constant supervision. She tells you she needs to go to the bathroom, gets up and attempts to close the door behind her . She seems upset, stating, “I don’t need you to follow me in to the bathroom!” Which of the following is the appropriate response?
  1. “Ok, I’ll just wait outside here until you are done.”
  2. “Sorry, but you are not allowed to go anywhere on your own, not even the bathroom.”
  3. “While you’re in there, I’ll just pop out to the bathroom myself.”
  4. “I’m sorry, I realize this may feel uncomfortable for you, but for your own safety I must stay with you at all times.”
Explanation
Answer: D- When a client expresses suicidal tendencies, the doctor will order that the client be watched consistently, so the nurse assigned to that client must follow them, even in to the bathroom. Letting the client know you understand their discomfort with the situation shows your understanding and empathy, and staying with the client shows your understanding of professional obligation to that client’s well-being.
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