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
Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.
Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.
Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.
Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.
Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).
Correct Answer is B
Explanation
The nurse has violated the mayor's right to privacy and confidentiality by disclosing his medical information to a third party without his consent. This action can lead to a charge of breach of confidentiality.
Additionally, the statement made by the nurse could be considered defamatory as it is likely to harm the mayor's reputation and could be interpreted as an accusation of a crime or moral wrongdoing. Therefore, the nurse could be charged with defamation of character. False imprisonment and batery are not relevant to the situation described.
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