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 ["A","D","E"]
Explanation
Choice A reason: The correct answer is a) because asking the client to write a sentence helps assess cognitive ability, including language and writing skills.
Choice B reason: Observing facial expression assesses mood, but it is not one of the three selected for understanding cognitive ability.
Choice C reason: Counting backward by sevens assesses cognitive function, but it is not selected in this question.
Choice D reason: The correct answer is d) because taking note of the client's nutritional status is part of assessing appearance.
Choice E reason: The correct answer is e) because asking the client to repeat a list of objects assesses recent memory.
Choice F reason: Asking the client to identify recent presidents assesses abstract thinking but is not one of the three selected for understanding the teaching.
Correct Answer is B
Explanation
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.
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