A nurse is caring for a client who is scheduled for electroconvulsive therapy In 1 hr. The client asks the nurse, "Can I refuse today's treatment?" Which of the following responses should the nurse make?

"You will be discharged sooner if you have the prescribed ECT treatments."

"You have the right to refuse the treatment."

"you are admitted to a mental health facility and must follow the provider's orders."

"You have already signed the consent form, so you cannot refuse today's treatment."

Answer and Explanation

The Correct Answer is B

Clients have the right to make informed decisions about their own healthcare, including the right to refuse treatment. It is important to respect the client's autonomy and honor their decision if they choose to refuse the treatment. The nurse should provide the client with information about the potential benefits and risks of the treatment, as well as any alternatives, and support the client in making an informed decision.
Let's examine why the other choices are incorrect:

A. "You will be discharged sooner if you have the prescribed ECT treatments." This statement does not address the client's right to refuse treatment and instead focuses on potential consequences of refusing. It is important to respect the client's autonomy and prioritize their right to make decisions about their own healthcare.

C. "You are admitted to a mental health facility and must follow the provider's orders." While clients in a mental health facility may have certain treatment plans, including ECT, it is still important to respect their right to refuse treatment. Admitting to a facility does not negate the client's right to make decisions about their own care.

D. "You have already signed the consent form, so you cannot refuse today's treatment." Signing a consent form does not mean that the client loses their right to refuse treatment. Consent forms are signed to acknowledge that the client has been provided with information about the treatment and has agreed to undergo it voluntarily. However, the client still has the right to change their mind and refuse the treatment at any time.

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Correct Answer is D

Explanation

Asking the client how they feel about being discharged encourages open communication and provides an opportunity for the client to express their emotions and thoughts about leaving the

hospital. It shows that the nurse values the client's perspective and allows for further discussion and support if needed. This response promotes client-centered care and acknowledges the client's experience during the hospitalization.

The other options are less appropriate:

A. "I know you will do well living out in the community" assumes the client's feelings and may not accurately reflect their experience or emotions about the discharge.

B. "I will send you a note in a few weeks" focuses on the nurse's future action rather than actively engaging with the client's expression of gratitude.

C. "Aren't you excited about being discharged today?" assumes the client's emotional state and may not consider the potential range of emotions the client could be experiencing.

A. Include people who can support the client adequately. B. Include people who live in the same house as the client. C. Include people whom the client views as family. D. Include people who are related to the client by blood and marriage.

Correct Answer is C

Explanation

When planning an interview for a newly admitted client and deciding who to include, the nurse should use the method of including people whom the client views as family. It is important to consider the client's perception and definition of family, as this can vary from person to person. Family can include not only blood relatives or individuals related by marriage but also those who have significant emotional connections and provide support to the client.

Incorrect:

A. Including people who can support the client adequately: While it is essential to include individuals who can provide support to the client, support can come from various sources beyond family members. Including only those who can support the client adequately may exclude important individuals in the client's life who are not considered family but still play a significant role.

B. Including people who live in the same house with the client: While individuals living in the same house as the client may have daily interactions and involvement in the client's life, they may not necessarily be considered family by the client. It is crucial to consider the client's perception of family and include individuals based on that definition.

D. Including people who are related to the client by blood and marriage: While blood relatives and individuals related by marriage can be part of the client's family, limiting the inclusion to only these individuals may exclude others who are important to the client's support system.

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A nurse is caring for a client who is scheduled for electroconvulsive therapy In 1 hr. The client asks the nurse, "Can I refuse today's treatment?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is planning an Interview for a newly admitted client and plans to Include the client's family members. Which of the following methods should the nurse use to determine who to include in the interview?

Correct Answer is C

Explanation

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