A nurse is educating staff members on the laws governing voluntary admissions. Which of the following statements by a staff member indicates an understanding of the teaching?
"If a client is gravely disabled, they may request admission as a voluntary individual."
"If a client under voluntary admission requests to leave, the nurse should contact the provider."
"Clients are not required to complete an admission application for voluntary admission."
"Clients under the age of 16 require involuntary commitment rather than voluntary admission."
The Correct Answer is B
A. "If a client is gravely disabled, they may request admission as a voluntary individual.": Clients who are gravely disabled typically cannot make informed decisions regarding their care, so they would not be eligible for voluntary admission. Voluntary admission requires the client to have the capacity to consent to treatment.
B. "If a client under voluntary admission requests to leave, the nurse should contact the provider.": Clients admitted voluntarily have the right to request discharge, but the nurse must notify the healthcare provider to ensure safe discharge planning and evaluate if any legal or medical concerns exist. This statement reflects correct understanding of the legal responsibilities in voluntary admissions.
C. "Clients are not required to complete an admission application for voluntary admission.": Voluntary admission generally requires completion of an admission application or consent form to document the client’s agreement to treatment. Omitting this step would not comply with legal or institutional requirements.
D. "Clients under the age of 16 require involuntary commitment rather than voluntary admission.": Minors can be admitted voluntarily with parental or guardian consent depending on state law. They do not automatically require involuntary commitment, so this statement reflects a misunderstanding of the regulations surrounding voluntary admission of minors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.
B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.
C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.
D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.
Correct Answer is C
Explanation
A. Diarrhea: Diarrhea is not a common adverse effect of clozapine. Gastrointestinal symptoms may occur with some antipsychotics, but diarrhea is not a primary concern with clozapine therapy.
B. Hypoglycemia: Clozapine is more commonly associated with hyperglycemia and increased risk of diabetes mellitus, rather than hypoglycemia. Blood glucose monitoring may be needed in clients at risk.
C. Agranulocytosis: Clozapine can cause severe neutropenia or agranulocytosis, which increases the risk of infection. Regular monitoring of white blood cell counts is essential, and any signs of infection should prompt immediate evaluation.
D. Urinary frequency: Urinary frequency is not a typical adverse effect of clozapine. Anticholinergic effects like urinary retention are more commonly associated with this medication, rather than increased frequency.
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