A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?
The client can undergo electroconvulsive therapy without giving informed consent.
The nurse can share information with the client's family without his permission.
The client has the right to refuse medication.
The nurse may use restraints as needed (PRN).
The Correct Answer is C
Choice A reason: Electroconvulsive therapy (ECT) requires informed consent, as it is a significant medical procedure involving anesthesia and induced seizures. Informed consent is a process where a patient is fully informed about the procedures and risks involved in a treatment and voluntarily agrees to it.
Choice B reason: Nurses cannot share information with a client's family without the client's permission due to confidentiality laws, except in specific circumstances defined by law. Patient information is protected under the Health Insurance Portability and Accountability Act (HIPAA), which requires patient consent for disclosure.
Choice C reason: Patients have the right to refuse medication. This right is part of the patient's autonomy and informed consent process. A mentally competent adult can refuse treatment, even if it may result in serious illness or death.
Choice D reason: The use of restraints in mental health facilities is highly regulated. Restraints may only be used when necessary to prevent immediate harm to the patient or others and must be discontinued as soon as the risk of harm has subsided.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.
Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.
Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.
Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.
Correct Answer is A
Explanation
Choice A Reason:Coronary artery bypass graft surgery (CABG) is not primarily performed to increase blood flow to the myocardium. Instead, it aims to restore blood flow to areas of the heart affected by blockages.
Choice B Reason:CABG does not intentionally decrease blood flow to the coronary arteries. On the contrary, it creates a new pathway to bypass blocked or partially blocked coronary arteries, improving blood flow to the heart muscle.
Choice C Reason:The primary purpose of CABG is to treat coronary artery disease by restoring blood flow to areas of the heart that aren't receiving enough blood. It involves using healthy blood vessels (usually from the chest or leg) to create a detour around blockages. By doing so, CABG improves heart function and reduces symptoms related to ischemia.
Choice D Reason:While CABG can indirectly prevent spasms of the coronary arteries by improving blood flow, it is not its primary purpose.
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