A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

"Your provider is required to notify your employer of your admission."

"You will still need to give informed consent for treatments after admission."

"You cannot leave the facility until your provider completes a discharge summary."

"You will give up your right to refuse antidepressant medications upon admission."

Answer and Explanation

The Correct Answer is B

A.   This statement is not necessarily accurate and could cause undue concern. Providers are not typically required to notify employers of a patient's admission to a mental health facility due to confidentiality regulations.
B.   Informed consent for treatments, interventions, or medications is an ongoing process, and the client maintains this right even after admission to the facility. It's crucial to ensure the client
understands this.
C.   While there are restrictions on leaving against medical advice (AMA) in some situations, the statement is too absolute. The client's ability to leave might depend on specific circumstances.
D.   This statement is not entirely true. Even in an inpatient setting, patients generally have the right to refuse medications, although there might be discussions about treatment plans.

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Correct Answer is B

Explanation

A. This is more aligned with the evaluation phase of the nursing process, ensuring that interventions are achieving the intended results.
B. During implementation, nurses execute the care plan, carry out interventions, and coordinate care with other healthcare team members to meet the patient's needs.
C. This is primarily part of the assessment phase, ensuring a thorough understanding of the patient's situation.
D. This involves collaborative goal-setting and is more aligned with the planning phase, ensuring that patient goals are agreed upon and relevant.

A. "On a regular basis, do you get enough restful sleep?" B. "Can we discuss what triggered your angry outburst a few minutes ago?" C. "Are you experiencing a flashback of the rape right now?" D. "Am I correct to say that you try to avoid certain family members?"

Correct Answer is C

Explanation

A. Sleep disturbances are common in PTSD but might not address the immediate distress related to the sexual assault.
B. While discussing triggers is relevant, it might not directly address the current acute symptoms of reliving the traumatic event.
C. Asking about current experiences of flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D. Avoidance behavior is a symptom of PTSD, but asking about flashbacks addresses more immediate distress.

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A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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