A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?
A client who is involuntarily admitted must take prescribed medications.
An involuntary admission is justified if the client is a danger to themselves or others.
An involuntary admission of a client is limited to two weeks.
A client who is involuntarily admitted can leave the facility against medical advice.
The Correct Answer is B
Choice A reason: Clients who are involuntarily admitted still retain the right to refuse certain treatments, including medications, unless court-ordered.
Choice B reason: The correct answer is b) because involuntary admission is typically justified when a client poses a danger to themselves or others.
Choice C reason: The duration of involuntary admissions varies by jurisdiction and is not universally limited to two weeks.
Choice D reason: Clients who are involuntarily admitted cannot leave against medical advice until they are deemed safe to do so.
A newly admitted client states to the nurse, "You walk and talk just like my sister. She also gives me a headache." Which of the following is the client experiencing?
a) Suppression
b) Transference
c) Countertransference
d) Assertiveness
The correct answer is: b) Transference.
Choice A reason: Suppression involves consciously trying to forget or avoid thoughts, not projecting feelings onto another person.
Choice B reason: The correct answer is b) because transference occurs when a client projects feelings and attitudes from a past relationship onto a person in the present, such as a nurse.
Choice C reason: Countertransference refers to the nurse's emotional response to the client, not the client's feelings towards the nurse.
Choice D reason: Assertiveness is a communication style and is not related to projecting past feelings onto others.
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Correct Answer is D
Explanation
Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.
Choice B reason: Fostering social relationships is important but is not the primary purpose.
Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.
Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Clients on an involuntary hold may not have the right to refuse treatment if it is deemed necessary for their safety.
Choice B reason: The correct answer is b) because clients have the right to communicate with others, including mailing letters.
Choice C reason: The correct answer is c) because clients have the right to file grievances against staff if they feel their rights are being violated.
Choice D reason: A private room is not a guaranteed right for clients on an involuntary hold.
Choice E reason: The correct answer is e) because clients have the right to practice their religion and conduct religious practices.
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