A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?

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 Ddemonstrates awareness of the right to vote, which is not affected by mental health status.

Benjamin Rush, who is known as the "Father of American Psychiatry," included kindness, exercise, and art therapy as methods of care for his patients. He believed that the creative process involved in art-making could be therapeutic and that it could help patients to express their emotions and thoughts. Rush also believed that the creation of art could provide a sense of accomplishment and purpose for patients, which could in turn improve their mental health.

While institutionalism, seclusion, and bloodletting were commonly used methods of treatment during Rush's time, they are not methods he specifically included in his approach to care. In fact, Rush was a vocal critic of the use of restraints and isolation in the treatment of mental illness.