Question

Give the rationale for why your selected answer is the correct answer AND why the options are INCORRECT.

A psychiatric–mental health nurse is documenting information in a client's medical record. Which would be least likely to increase the nurse's legal liability?

A) “Client reported that he was feeling better today than yesterday.”

B) “Administered haloperidol 10 mg IM stat as ordered for agitation.”

C) “Client was talking with another staff member and started screaming.”

D) “Applied restraints to all four client extremities.”

Answer 1

Answer: B)Administered haloperidol 10 mg IM stat as ordered for agitation."

Rationale: For the patient suffering from the mental health issues, the nurse need to document about the clients health as per day improvement note should be made. Client was talking with another staff member and started screaming, it is the behaviour that should the nurse intervene as it may harm patient or other staff members. The does given to the patient that is 10mg through IM, is the normal adult dose. As dose of up to 5 mg to 10 mg IM every 4 to 6 hours is normally administered.