A nurse is caring for a client who has bipolar disorder.

Exhibits

Select words from the choices below to fill in each blank in the following sentence.

After assessing the client and reviewing the client's medical record, the nurse determines that the client could be experiencing which of the following?

The client could be experiencing

and

.

Informed consent typically pertains to medical treatments and interventions. Involuntary admissions involve clients who are admitted due to safety concerns, and they may not have the capacity to provide informed consent in the same way as clients in voluntary admissions.

B) "Clients should be given medications even if they refuse them."

While there might be cases where medications are administered to clients who are involuntarily admitted, this statement is not complete. Administration of medications to clients against their will usually involves a process that considers the individual's best interests and relevant legal requirements.

C) "The laws regarding restraints are different for clients who are admitted involuntarily."

Explanation:

Involuntary admissions involve individuals who are admitted to a mental health facility against their will due to the potential risk they pose to themselves or others. The laws regarding their care and rights may differ from those for voluntary admissions. One aspect where there might be differences is the use of restraints and seclusion.

Clients who are admitted involuntarily have specific legal rights and protections, and these rights vary depending on the jurisdiction and specific mental health laws in place. In many cases, there are regulations that govern the use of restraints and seclusion for clients who are involuntarily admitted. These regulations are in place to ensure the safety and dignity of the individuals while balancing the need for appropriate intervention.

D) "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary."

Involuntary admissions have a legal framework that includes specific criteria for continuing the hospitalization. Clients who are admitted involuntarily cannot be held indefinitely without a proper evaluation and review of their condition and treatment plan.

A) Maturational crisis:

This type of crisis arises from normal life transitions, such as entering a new stage of development (adolescence, midlife crisis, etc.). It involves a struggle to adapt to new roles and responsibilities. The client's situation does involve a life transition due to the death of his wife, but the sudden nature of the event and the resulting distress suggest a situational crisis.

B) Adventitious crisis:

Adventitious crises are caused by extraordinary events that are external to the individual's usual experience, such as natural disasters, accidents, or crimes. While the sudden death of the client's wife is an unexpected and tragic event, it's not an adventitious crisis because it involves personal loss rather than a large-scale or external event.

C) Developmental crisis:

Developmental crises are associated with specific stages of life and the challenges and changes that come with them. This crisis doesn't seem to fit the developmental category as it is more tied to the specific event of the wife's sudden death.

D) Situational crisis

Explanation:

A situational crisis is a type of crisis that arises from a specific event or situation that disrupts an individual's normal functioning and coping abilities. In this case, the sudden death of the client's wife is the triggering event that has led to his feeling paralyzed and overwhelmed in his ability to cope with work and family responsibilities. Situational crises are often unexpected and can lead to a temporary state of disorganization and distress.