A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Tell the client he cannot refuse the treatment because he was involuntarily committed.
Inform the client that ECT does not require client consent.
Document the client's refusal of the treatment in the medical record.
Ask the client's family to encourage the client to receive ECT.
The Correct Answer is C
The nurse should respect and document the client's right to refuse treatment, even if he was involuntarily committed, unless there is a court order for ECT. The nurse should not coerce, misinform, or pressure the client to receive ECT against his will. 22.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Thought stopping technique is a cognitive-behavioral intervention that aims to interrupt and replace unwanted thoughts with more adaptive ones. Snapping a rubber band on the wrist is a form of aversive conditioning that creates a negative association with the obsessive thought and reduces its frequency and intensity.
Correct Answer is C
Explanation
A client who has moderate-stage Alzheimer's disease may experience confusion, memory loss, wandering, agitation, and impaired judgment. Placing this client closest to the nurse's station can facilitate close observation and intervention, as well as reduce environmental stimuli that may trigger anxiety or disorientation.
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