A 3-year-old child with eczema of the face and arms has disregarded the nurse’s warnings to “stop scratching, or else!” The nurse finds the toddler scratching so intensely that the arms are bleeding. The nurse then ties the toddler’s arms to the crib sides, saying, “I’m going to teach you one way or another.” How would the nurse’s behavior be interpreted?
A These actions can be construed as assault and battery.
B The problem was resolved with forethought and accountability.
C Skin must be protected, and the actions taken were by a reasonably prudent nurse.
D The nurse had tried to reason with the toddler and expected understanding and cooperation.
The correct answer and explanation is:
The correct answer is A: These actions can be construed as assault and battery.
Explanation:
Assault and battery in nursing practice involve the unauthorized or unlawful touching of a patient in a way that can cause harm or distress. In this case, tying the toddler’s arms to the crib without the child’s consent or a clear, ethical reason for restraint may be considered battery. The act of tying the child in such a manner is an unwanted physical intervention that can be viewed as abusive or harmful.
Furthermore, the nurse’s behavior disregards professional standards, as the use of physical restraints must meet certain criteria, such as being appropriate, necessary, and authorized by the healthcare provider, often with clear communication to the child’s guardians or parents. Restraints should only be used when all less intrusive methods have failed and in accordance with ethical and legal guidelines.
In this scenario, the nurse’s statement “I’m going to teach you one way or another” reflects a punitive approach, which is not considered an acceptable method of handling pediatric patients. Nurses are expected to provide care that is compassionate, respectful, and focused on the patient’s well-being. Tying a child to a crib goes against these principles, as it involves using force and intimidation rather than working with the child’s developmental level to address the behavior.
In sum, the nurse’s actions in this scenario can be seen as assault and battery due to the inappropriate use of restraints and the absence of a clear, justifiable reason for such an intervention. Professional conduct demands that nurses prioritize safety, dignity, and respect for their patients at all times.