A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?

Attending a cognitive behavioral therapy class

Taking an experimental medication

Participating in a group exercise program

Receiving light therapy

Answer and Explanation

The Correct Answer is B

A.   Cognitive behavioral therapy (CBT) is a commonly used psychotherapy approach for bipolar disorder. Attending a CBT class typically does not require specific informed consent beyond the general consent for treatment, as it involves non-invasive, non-experimental therapeutic techniques aimed at improving coping skills and managing symptoms. In most cases, attending therapy sessions like CBT is considered part of routine care for mental health conditions.
B.   Experimental medications involve drugs or treatments that are not yet approved by regulatory agencies (such as the FDA in the United States) for general use. For a client to participate in a clinical trial or receive an experimental medication, they must provide explicit informed consent after being informed about the potential risks, benefits, and uncertainties associated with the treatment. This process ensures that the client understands they are participating in research and not receiving standard care.
C.   Participating in a group exercise program is generally considered a routine therapeutic intervention aimed at promoting physical health and well-being. While informed consent is important for all interventions, including exercise programs, it typically involves providing general information about the program's goals, activities, and any potential risks. Clients are not consenting to experimental treatments or procedures that go beyond standard exercise protocols.

D.   Light therapy, also known as phototherapy, is a treatment often used for seasonal affective disorder (SAD) and other mood disorders. It involves exposure to specific wavelengths of light to regulate circadian rhythms and improve mood. While light therapy is a specialized treatment, it is a standard intervention for mood disorders and does not typically require separate informed consent beyond what is provided for standard medical treatments.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Being married is generally considered a protective factor against suicide. Married individuals often have social support and a sense of belonging, which can reduce suicide risk. Therefore, this would not be identified as a risk factor for suicide.
B. Alcohol use disorder is a significant risk factor for suicide. Alcohol can impair judgment, increase impulsivity, and exacerbate underlying mental health issues. It is associated with higher rates of suicidal ideation and attempts.
C. Family history of suicide, including among siblings, is a known risk factor. Exposure to suicide within the family can contribute to feelings of hopelessness, increase perceived acceptability of suicide, and impact mental health negatively.
D. Access to firearms is a well-established risk factor for completed suicide. Firearms are highly lethal, and their presence increases the likelihood of a fatal suicide attempt compared to other means.
E. Terminal illness, including conditions like terminal liver cancer, can contribute to feelings of hopelessness and despair, potentially increasing suicide risk. The distress related to the prognosis and physical symptoms can exacerbate mental health issues.

A. Excessively anxious B. Exploitive of others C. Withdrawn behaviors D. Blunted affect

Correct Answer is B

Explanation

A. This is not typically associated with antisocial personality disorder. People with ASPD often exhibit a lack of remorse and guilt, and they may be prone to impulsive and risk-taking behaviors rather than excessive anxiety.
B. Exploitation of others is a hallmark feature of antisocial personality disorder. Individuals with ASPD may manipulate, exploit, or deceive others for personal gain without regard for others' feelings or rights.
C. Withdrawn behaviors, where individuals tend to isolate themselves or avoid social interactions, are not characteristic of antisocial personality disorder. In fact, individuals with ASPD tend to be socially charming and may seek out social situations to manipulate or exploit others.
D. Blunted affect refers to a reduced emotional expression, which is not typically a prominent feature of antisocial personality disorder. Individuals with ASPD may exhibit superficial charm and can be engaging, although they may lack empathy or genuine emotional responsiveness.

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A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

Correct Answer is B

Explanation

A nurse is obtaining a health history from a client who reports a recent suicide attempt. Which of the following responses should the nurse make?

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?

A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood." Which of the following responses should the nurse make?

A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?

A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at highest risk for physical abuse?

A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?

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