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.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Systematic desensitization does not involve imitating the therapist's actions.
Choice B reason: Snapping a rubber band on the wrist is a different behavioral technique (aversion therapy), not systematic desensitization.
Choice C reason: Standing on a very high place until calm is not systematic desensitization, which involves gradual exposure.
Choice D reason: The correct answer is d) because systematic desensitization involves gradually increasing exposure to the feared stimulus (heights) to reduce the fear response.
Correct Answer is B
Explanation
Choice A reason: Telling a patient they can't wear steel-tipped boots is a safety measure and does not violate patients' rights.
Choice B reason: The correct answer is b) because patients have the right to communicate with their family, and restricting this without a valid safety concern violates their rights.
Choice C reason: Telling a patient they can't save scheduled medication is a safety measure to ensure proper medication administration.
Choice D reason: Inspecting a food basket for safety reasons is not a violation of patients' rights.
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