Question

A nurse is taking care of an intoxicated male patient who has been involved in a motor vehicle accident. Although not critically injured, the patient refuses to remain on his gurney, continuously gets up to leave the ED, and is unsteady on his feet. The nurse is given a written order by the physician to use wrists restraints on the patient. When the nurse tells the patient this, he refuses. Which of these is the correct action for the nurse to take?

Accepted Answer

Place the patient in restraints in accordance with the policies of the facility.

Answer

Respect the patient’s right to refuse treatment and allow him to sign out of the ED against medical advice (AMA).

Answer

Discuss the patient’s concerns with him and try to reach an agreement about remaining on the gurney until further evaluation and treatment.

Answer

Report to the physician that the patient is refusing the restraints.

Question 3 - Psychosocial Integrity Practice Test for the NCLEX-RN Exam