A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?

Choice A reason: Describing consequences of actions indicates cognitive awareness and problem-solving skills, but it does not directly reflect a healthy self-concept. Self-concept involves self-perception, esteem, and a balanced view of strengths and limitations. This choice focuses on behavioral outcomes, not internal self-worth, making it an inadequate indicator of the goal.

Choice B reason: Perceiving oneself as always capable of achieving goals suggests overconfidence or grandiosity, which can indicate a maladaptive self-concept, potentially linked to narcissistic traits. A healthy self-concept involves realistic self-assessment, acknowledging both strengths and limitations. This choice reflects an unbalanced view, making it incorrect for the goal of a healthy self-concept.

Choice C reason: Seeking help when needed demonstrates a healthy self-concept, reflecting self-awareness, humility, and confidence in recognizing personal limitations. This aligns with psychological theories of self-esteem, emphasizing balanced self-perception and social interdependence. It indicates emotional maturity and adaptive coping, making this the correct choice for achieving the goal.

Choice D reason: Meeting own needs without regard for others’ rights suggests selfishness or lack of empathy, indicative of a maladaptive self-concept. A healthy self-concept includes respect for social boundaries and reciprocity, which this choice violates. It reflects a self-centered approach, not a balanced or healthy self-perception, making it incorrect.

Choice A reason: Bupropion is not primarily a sedative; it is an atypical antidepressant that stimulates norepinephrine and dopamine. It may cause insomnia, not promote sleep, making this statement incorrect. Sedative medications like zolpidem are used for sleep, not bupropion, which has activating properties.

Choice B reason: Bupropion has a lower risk of sexual dysfunction compared to SSRIs, making it a suitable alternative for depression treatment in patients experiencing this side effect. Its mechanism avoids serotonin-related sexual issues, supporting its use in such cases, making this a correct choice.

Choice C reason: Bupropion is FDA-approved for major depressive disorder, acting on norepinephrine and dopamine to alleviate depressive symptoms. It is commonly prescribed for depression, making this statement true and a correct choice, as it aligns with its primary clinical use.

Choice D reason: Bupropion, under the brand Zyban, is approved for smoking cessation, as it reduces nicotine cravings and withdrawal symptoms by modulating dopamine pathways. This evidence-based use makes the statement true, correctly identifying bupropion’s role in smoking cessation programs.