A nurse is discussing restraint with a newly licensed nurse. Which of the following situations should the nurse identify as an acceptable indication for using restraints for a client? {Ans: Continued self-destructive behavior A nurse my use mechanical restraints for a client who presents a specific danger to themselves or others. The nurse must follow all facility policies, such as documentation of the behavior that led up to the use of restraints and other interventions the staff used prior to the restraints.}A nurse is talking with a client who has schizophrenia. Suddenly the client states, "Im tightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate ? {Ans: "What are the voices telling you to do?" This statement recognizes the risk involved with a command hallucination an asks there client directly about the hallucination. This is a therapeutic approach to communicating with a client who is experiencing a hallucination.}A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching? {Ans: "I will contact my provider if I