A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?
“You can’t tell my boss that I attempted suicide.”
“I can understand why you restrained me when I threatened you.”
“I can leave anytime I tell you I am not going to hurt myself.”
“I may be here, but I still have the right to vote.”
The Correct Answer is C
This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staff they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.
Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.
Option B shows an understanding of the reason for the use of restraints.
Option D demonstrates awareness of the right to vote, which is not affected by mental health status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Sharing personal information with a client is a boundary violation, as it blurs the professional relationship and creates a risk for the client to become involved in the nurse's personal issues.
B. Making plans to have lunch with a client after discharge is also a boundary violation, as it can be interpreted as crossing the professional boundary and compromising the nurse's objectivity and impartiality.
C. Agreeing to keep a secret from a client can also be a boundary violation, as it may interfere with the nurse's professional judgment and duty to protect the client's safety and well-being.
D. Allowing a client to hold the nurse's hand before chemotherapy is not necessarily a boundary violation, as this can be a form of emotional support that is appropriate in some circumstances.
E. Reading a 'get-well' card to a client is not a boundary violation, as it is a form of emotional support that is appropriate and professional.
Correct Answer is D
Explanation
This response encourages the client to share her thoughts and concerns about returning to school, which can help the nurse to understand the client's perspective and provide support and guidance as needed. It also shows that the nurse is actively listening and interested in what the client has to say, which can help to build trust and rapport in the therapeutic relationship.
Responses a and b are positive but not necessarily helpful in addressing the client's concerns.
Response c is potentially intrusive and could make the client feel uncomfortable or judged.
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