Difficulty: Medium
Average Score: 62%
Simulated
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Obtain a prescription for seclusion within 30 minutes. This is crucial as seclusion should be prescribed by a healthcare provider promptly to ensure it is appropriate and necessary for the client's safety. Keeping the client in seclusion for a specific time frame (choice A) may not align with the client's individual needs. Monitoring vital signs (choice C) and documenting behavior (choice D) are important but not as time-sensitive as obtaining the prescription. It is essential to prioritize the client's immediate safety by following the appropriate protocols and obtaining the necessary authorization for seclusion promptly.