A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor.

To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Whether the client is unable to make arrangements to stay with someone.

Whether the client is financially incapable of paying for medications.

Whether the client is in danger of harming herself or others.

Whether the client is unwilling to accept that treatment is needed.

Answer and Explanation

The Correct Answer is C

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

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Correct Answer is ["A","C","D"]

Explanation

Why did you do that? - This question can come across as judgmental and accusatory, and may cause the client to become defensive or feel criticized.

Tell me more about your relationship with your daughter? - This question encourages the client to open up and share more about themselves, which can promote eﬀective communication.

This is what I think you should say. - This response takes away the client's autonomy and can make them feel like their feelings and opinions are not important.

Don’t stress over it, everything will turn out fine. - This response minimizes the client's concerns and can make them feel like their feelings are not valid or important. It can also come across as dismissive and unempathetic.

A. Ask for what you need. B. Giving information. C. Silence. D. Using general leads.

Correct Answer is B

Explanation

In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.

Option a, "Ask for what you need," may not be eﬀective in this situation because the patient has already expressed what they need, which is information about their medication.

Option c, "Silence," would not be helpful because the patient is seeking information and support.

Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.

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A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nurse responses could block eﬀective communication with a client? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.” What therapeutic communication would help this patient?

Correct Answer is B

Explanation

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A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor.

To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?