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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Correct Answer is D
Explanation
The ultimate goal of inpatient mental health treatment is to help patients stabilize and manage their mental illness to the point where they can safely return to their homes and communities. Inpatient treatment is typically only used for short periods of time to stabilize a patient who is experiencing severe symptoms that cannot be managed on an outpatient basis. Once the patient is stabilized, they can be discharged and transitioned to an outpatient treatment program or a community mental health centre.
While some mental illnesses may be curable, many are chronic conditions that require ongoing management and treatment.
Finding a facility for long-term care may be appropriate in some cases, but it is not generally a goal of inpatient mental health treatment.
Being arrested and placed in prison is not a desirable outcome of mental health treatment and is not a goal of the treatment process.
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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