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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client is experiencing fear and anxiety while awaiting the biopsy report, which is a common reaction.
Response a, “Worrying is not going to help the situation," may come across as dismissive or insensitive, and may make the client feel like their emotions are not valid.
Response b, “Let’s wait until we hear what the biopsy report says," may be appropriate in some situations, but it does not acknowledge the client's emotions or offer any support.
Response d, “Operations are not performed unless there are no other options,” is not a relevant response to the client's fear of a cancer diagnosis.
The most appropriate response, option c, acknowledges the client's feelings and offers support, which can help the client feel heard and validated. The nurse can also offer additional support by providing information on coping mechanisms or resources available to the client to help them manage their anxiety while they wait for the results.
Correct Answer is C
Explanation
Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.
Option (a) is incorrect because not all information can remain confidential.
Option (b) is incorrect because not all information requires the client's approval to share.
Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.
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