A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?
Refer the case to the facility's ethics committee.
Document the client's refusal of the medication in the medical record.
Administer the medication by another route.
Inform the client that due to her involuntary admission, she cannot refuse a sedative.
The Correct Answer is B
Choice A reason: Referring the case to the ethics committee is not the immediate action required.
Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.
Choice C reason: Administering the medication by another route without consent is not appropriate.
Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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 ["0.8"]
Explanation
Calculation steps:
Step 1: Identify the dosage required. 4 mg
Step 2: Identify the concentration available. 5 mg/mL
Step 3: Calculate the volume to be administered. 4 mg ÷ 5 mg/mL Result: 0.8 mL
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