A nurse is caring for a client who was involuntarily committed to a mental health facility. Which of the following is a client's legal right?

The client cannot withhold consent once it is given.

The client is not permitted to refuse medications.

The client should be in the most restrictive environment.

The client is permitted to have visits by clergy.

Answer and Explanation

The Correct Answer is D

A. The client cannot withhold consent once it is given: Clients retain the right to withdraw consent for treatment at any time, even in a mental health facility. Involuntary commitment does not eliminate autonomy over medical decisions, and healthcare providers must respect ongoing consent or refusal for treatments when the client is capable of making decisions.

B. The client is not permitted to refuse medications: Clients have the right to refuse medications unless a court order or emergency situation justifies involuntary administration. Informed refusal is a protected legal right, and coercion without due process violates patient autonomy and legal protections.

C. The client should be in the most restrictive environment: Legal and ethical standards require that clients be treated in the least restrictive environment that meets their safety and treatment needs. Placement in the most restrictive setting is not mandated and may only occur if necessary for protection or treatment efficacy.

D. The client is permitted to have visits by clergy: Clients retain the right to access spiritual care and communicate with clergy, regardless of involuntary commitment status. This right is protected under mental health law and supports the client’s freedom of religion and access to personal support systems.

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Correct Answer is B

Explanation

A. Oral irrigating device: An oral irrigating device is used for oral hygiene but is not a priority for a client with bacterial meningitis. Infection control and safety interventions take precedence over routine hygiene equipment upon admission.

B. Seizure pads: Clients with bacterial meningitis are at risk for increased intracranial pressure and seizures due to inflammation of the meninges. Placing seizure pads on the bed helps prevent injury if a seizure occurs, ensuring client safety during acute illness.

C. Sterile gloves: Standard precautions require the use of clean gloves for routine care. Sterile gloves are necessary only for invasive procedures, not for general admission care, so they are not a priority item for the room setup.

D. Tongue blade: A tongue blade is used for throat examinations but is not essential for immediate care of a client with bacterial meningitis. Priority interventions focus on monitoring neurologic status and preventing complications such as seizures.

A. Weight B. Bowel pattern C. Sodium level D. Respiratory rate E. Urine specific gravity F. Skin turgor G. Heart rate

Correct Answer is ["A","B","E","F","G"]

Explanation

Rationale for correct choices:

• Weight: The child’s weight increased from 9.5 kg on day 2 to 10.2 kg on day 3, surpassing the admission weight of 10 kg. This indicates successful rehydration and restoration of fluid balance. Weight gain is a reliable objective marker of improvement in pediatric dehydration.

• Bowel pattern: The child’s stools changed from six watery stools on day 2 to two formed stools on day 3. This reflects resolution of diarrhea and recovery of gastrointestinal function. Normalization of bowel movements indicates that electrolyte and fluid losses have been addressed effectively.

• Urine specific gravity: Urine specific gravity decreased from 1.031 on admission to 1.018 on day 3. This reflects improved hydration status and kidney perfusion, as urine is less concentrated. Monitoring urine concentration helps evaluate the effectiveness of fluid replacement therapy.

• Skin turgor: Skin turgor improved from 2 seconds to less than 1 second and appears consistent with the child’s baseline. This indicates restored hydration and effective fluid therapy. Normal skin turgor demonstrates recovery from extracellular fluid deficit.

• Heart rate: The heart rate decreased from a tachycardic 116/min on Day 2 to 100/min on Day 3. A stable, lower heart rate indicates that the circulatory volume is adequate and the heart no longer needs to overcompensate for low blood volume.

Rationale for incorrect findings:

• Sodium level: Sodium remained within normal range (138 mEq/L), so while stable, it does not specifically indicate improvement beyond baseline.

• Respiratory rate: Respiratory rate remained mildly elevated at 26 breaths/minute; it shows stability but does not directly indicate recovery from dehydration.

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A nurse is caring for a client who was involuntarily committed to a mental health facility. Which of the following is a client's legal right?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the nurse place in the client's room?

Correct Answer is B

Explanation

A nurse is assisting with the care of a 2-year-old child. Click to highlight the findings that indicate the child has progressed. To deselect a finding, click on the finding again. Day 3, 0900: Weight Bowel pattern Sodium level Respiratory rate Urine specific gravity Skin turgor Heart rate

Correct Answer is ["A","B","E","F","G"]

Explanation

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