A nurse is admitting a client to the psychiatrist unit after attacking a neighbor. The nurse should know that the client can be kept in the hospital after the 72 hours hold is over when which of the following conditions is met?

The client is unwilling to accept the treatment being oﬀered.

The client states that they will never attack the neighbor again.

The client plans to move out of state immediately upon discharge from the hospital.

The client is a threat to himself and others.

Answer and Explanation

The Correct Answer is D

A client can be kept in the hospital after the initial 72-hour hold if they are deemed to be a threat to themselves or others. This determination is typically made by a mental health professional who evaluates the client’s behavior and mental state. If the client is considered to be a danger, they may be held involuntarily for further treatment and observation.

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Correct Answer is B

Explanation

A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.

This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.

A. “You can’t tell my boss that I attempted suicide.” B. “I can understand why you restrained me when I threatened you.” C. “I can leave anytime I tell you I am not going to hurt myself.” D. “I may be here, but I still have the right to vote.”

Correct Answer is C

Explanation

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.

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A nurse is admitting a client to the psychiatrist unit after attacking a neighbor. The nurse should know that the client can be kept in the hospital after the 72 hours hold is over when which of the following conditions is met?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?

Correct Answer is C

Explanation

Which of the following are included in Johada’s indicators of mental health? (Select all that apply.)

A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?

While awaiting the biopsy report, the client reports being afraid of a diagnosis of cancer. How should the nurse respond?

Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

A victim of violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on which of the following?

A nurse is preparing to administer lithium syrup 1800 mg PO bd Available is lithium syrup 600 mg/5 mL How many mL would the nurse administer per dose? (Write the number only, do not include the label Record the answer as a whole number Use a leading zero if it applies Do not use a trailing zero)