A Client Becomes Confused After Surgery

A client becomes confused after surgery. He is in a room farthest away from the nurses' station. The client tries to get out of bed several times during the shift. The nurse informs the physician and obtains an order for soft restraints. In addition she moves the client close to the station and assigns a sitter to watch him. Which of the following did the nurse utilize? (Select all that apply.)

A) Clinical judgment
B) Clinical decision making
C) Autocratic decision
D) Financial decision

Correct Answer:

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