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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hildegard Peplau was a nursing theorist who promoted the interpersonal theory between patient and nurse. She believed that nursing is a therapeutic, interpersonal process that involves the development of a close and personal relationship between the nurse and the patient. According to her theory, the nurse should understand the patient's needs, feelings, and behaviors to develop a personalized care plan that would facilitate the patient's recovery.
Mary Mahoney was a nurse who broke racial barriers and became the first African American registered nurse in the United States.
Hattie Bessment was a nurse who promoted nursing education and research.
Linda Richards was the first professionally trained nurse in the United States and established the first nursing school in Japan.
While these nurses contributed significantly to the nursing profession, they did not specifically promote the interpersonal theory between patient and nurse.
Correct Answer is ["A","B","D"]
Explanation
These techniques can help a nurse communicate effectively with a patient. Clarifying terms can help ensure that both the nurse and the patient understand each other and are on the same page.
Remaining silent can give the patient space to express themselves and can show that the nurse is actively listening.
Asking open-minded questions can encourage the patient to share their thoughts and feelings and can help the nurse beter understand the patient’s perspective.
Offering false reassurance and discouraging the person from expressing feelings that are unacceptable (e) are not effective communication techniques. False reassurance can undermine trust and discourage honest communication, while discouraging expression of feelings can prevent the patient from fully engaging in the therapeutic process.
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