A nurse is caring for a client admitted to a mental health facility who asks. “Can I refuse the Electroconvulsive Therapy (ECT) treatment scheduled for tomorrow?” Which is the appropriate answer for the nurse?

You have given signed consent for the treatments after they were explained to you.

You will feel better after the course of treatments.

You can refuse them, but the provider believes they are necessary.

You have the right to refuse even though the consent form has been signed.

Answer and Explanation

The Correct Answer is D

Every patient has the right to refuse treatment, including Electroconvulsive Therapy (ECT), even if they previously provided consent. The nurse should respect the client's autonomy and inform the client of their right to refuse the treatment, even if the healthcare provider believes it is necessary. It is important for the nurse to discuss the potential risks and benefits of the treatment with the client to make an informed decision. The nurse should also document the client's decision and communicate it with the healthcare provider.

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Correct Answer is B

Explanation

In this situation, it is important for the nurse to maintain professional boundaries and avoid sharing personal information with the client. Instead of engaging in a conversation about his personal life, the nurse should redirect the conversation back to the client and their needs. This approach helps to keep the focus on the therapeutic relationship and ensures that the client receives appropriate care and support.

A. A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order. B. 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. C. A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit. D. A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.

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.

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A nurse is caring for a client admitted to a mental health facility who asks. “Can I refuse the Electroconvulsive Therapy (ECT) treatment scheduled for tomorrow?” Which is the appropriate answer for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client asks about her male nurse's girlfriend and social activities. Which of the following is the best response by the nurse?

Correct Answer is B

Explanation

Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

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