A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

"You have the right to refuse medications prescribed during your stay."

"Your admission status allows you to leave the facility at any time."

"Your health care team will review your admission status in 90 days."

"You will automatically have a legal guardian appointed during this admission."

The correct answer is: a) "You have the right to refuse medications prescribed during your stay."

Answer and Explanation

The Correct Answer is A

Choice A reason: Clients who are involuntarily admitted to a psychiatric facility retain certain rights, including the right to refuse medications. This is an important part of patient autonomy and informed consent. Even though the client is involuntarily admitted, they must still be provided with information about their treatment options and have the right to make decisions about their medications unless there is a court order stating otherwise.

Choice B reason: This statement is incorrect because involuntary admission means that the client cannot leave the facility at any time. Involuntary admission is typically initiated because the client is unable to meet their own physical needs or poses a danger to themselves or others. Therefore, their ability to leave the facility is restricted until their condition improves or their admission status is reviewed and changed.

Choice C reason: This statement is misleading because the review of admission status for involuntary patients usually occurs much sooner than 90 days. Legal requirements and procedures for reviewing involuntary admission status vary by jurisdiction, but typically, initial reviews occur within a few days to weeks to ensure that the client's rights are protected and that continued hospitalization is necessary.

Choice D reason: This statement is incorrect. Involuntary admission does not automatically result in the appointment of a legal guardian. The process of appointing a legal guardian is separate and involves a legal proceeding where a court determines the need for guardianship. The involuntary admission process is primarily focused on the immediate care and safety of the client.

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Correct Answer is A

Explanation

Choice A reason: Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing their frustration may be more likely to react impulsively and aggressively when faced with challenging situations. This inability to cope with frustration can lead to abusive behaviors, especially if the individual has not developed healthy coping mechanisms. The stress and demands of parenting can exacerbate these tendencies, increasing the risk of child abuse.

Choice B reason: Being involved in community activities is generally considered a protective factor rather than a risk factor. Participation in community activities can provide social support, reduce isolation, and offer positive role models. These factors can help individuals develop healthier coping strategies and reduce the likelihood of abusive behaviors. Therefore, involvement in community activities is not typically associated with an increased risk of becoming a perpetrator of child abuse.

Choice C reason: A submissive personality is not typically identified as a risk factor for becoming a perpetrator of child abuse. Submissive individuals are more likely to be passive and avoidant rather than aggressive and abusive. While personality traits can influence behavior, a submissive personality does not inherently increase the risk of perpetrating abuse. Other factors, such as a history of abuse, stress, and lack of support, are more relevant in assessing the risk of abusive behavior.

Choice D reason: The absence of impulsive behaviors is not a risk factor for becoming a perpetrator of child abuse. In fact, impulsivity is often associated with a higher risk of abusive behaviors. Individuals who lack impulsive behaviors are generally more capable of controlling their actions and responding to stress in a measured and thoughtful manner. Therefore, the absence of impulsive behaviors is not linked to an increased risk of child abuse.

A. "As long as a person is not vomiting after eating they do not have bulimia nervosa." B. "People who have bulimia nervosa are at risk for developing diabetes mellitus." C. "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight." D. "People who have bulimia nervosa eat an average amount of food on a daily basis."

Correct Answer is C

Explanation

Choice A reason: This statement is incorrect because individuals with bulimia nervosa can engage in other purging behaviors, such as the use of laxatives or excessive exercise, even if they do not vomit after eating. Therefore, the absence of vomiting does not rule out the diagnosis of bulimia nervosa.

Choice B reason: While individuals with bulimia nervosa may experience fluctuations in blood sugar levels due to their disordered eating behaviors, they are not specifically at a higher risk for developing diabetes mellitus compared to the general population. The primary health risks associated with bulimia nervosa are related to electrolyte imbalances, gastrointestinal issues, and cardiovascular complications.

Choice C reason: Bulimia nervosa can be difficult to detect because individuals with this disorder often maintain a weight that is within the average or ideal range. This can make it challenging for others to recognize the presence of an eating disorder, as the physical appearance may not immediately suggest a problem.

Choice D reason: This statement is incorrect because individuals with bulimia nervosa typically engage in binge eating episodes, during which they consume a large amount of food in a short period of time. These binge eating episodes are a key characteristic of the disorder and distinguish it from other eating disorders.

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A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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