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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
In cognitive behavior therapy (CBT), automatic thoughts refer to the rapid, subconscious thoughts that occur in response to a particular situation or event. These thoughts are automatic, meaning that they occur quickly and without conscious effort, and are often negative or distorted in nature. They are not necessarily based on fact or reality, and may be influenced by past experiences or beliefs. The goal of CBT is to identify and challenge these automatic thoughts, and replace them with more realistic and positive ones. Therefore, option c is the best explanation of automatic thoughts in the context of CBT. Options a and d are incorrect because automatic thoughts are not necessarily positive or indicative of psychiatric disorders. Option b is partially correct but does not fully capture the nature of automatic thoughts.
Correct Answer is D
Explanation
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
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