A nurse is talking with an adult child of a client who was involuntarily admitted to an inpatient mental health facility. Which of the following statements should the nurse make?
"The provider will notify your parent's employer about admission to the facility."
"Your parent will have to take the medication that the doctor prescribes."
"Your parent might have electroconvulsive therapy without providing consent."
"The provider can prescribe restraints if your parent tries to harm others."
The Correct Answer is D
A. The provider is not required to notify the client's employer about the admission to a mental health facility. This information is protected under confidentiality laws and regulations.
B. While the client may be strongly encouraged to take prescribed medications, they cannot be forced to do so without consent, especially if they are competent to make their own decisions.
C. Electroconvulsive therapy (ECT) typically requires informed consent from the patient or their legal representative, even in an involuntary admission scenario. Therefore, it is incorrect to state that ECT can be performed without consent.
D. If the client poses a risk of harm to themselves or others, the provider can prescribe restraints as a safety measure. This statement is correct and aligns with safety protocols in mental health facilities.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A sterile field must be established at or above waist level. Setting it up below waist level introduces a high risk of contamination because the field falls out of the nurse's direct line of vision, rendering it unsterile.
B. The nurse should hold the bottle of sterile solution with the palm of the hand covering the label while pouring. This technique prevents any liquid from accidentally dripping down the side of the bottle, ensuring the label remains dry, legible, and intact.
C. Objects placed within the outer 2.54 cm (1 inch) border of a sterile drape are considered contaminated. Sterile items must be positioned well inside this safety perimeter to prevent accidental contact with non-sterile areas.
D. The lid of a bottle of sterile solution is not considered sterile on its outer surface and must never be placed within the sterile field. It should be set upside down on a clean, dry surface outside the sterile perimeter to avoid introducing contaminants.
Correct Answer is B
Explanation
A. "My stoma size will stay the same, even after it has healed." - This statement is incorrect.
Stoma size can change during the healing process and may continue to evolve over time due to factors such as swelling, retraction, or prolapse.
B. "My stoma will drain liquid fluid continuously." - This statement is correct. In an ileostomy, the stoma typically drains liquid stool continuously due to the absence of the colon, which is responsible for absorbing water from the feces.
C. "I will change my pouch system every 2 weeks." - This statement is incorrect. The frequency of pouch changes depends on individual factors such as stoma size, type of pouching system used, and personal preference. It is essential to teach clients to change their pouch when needed, which may vary from a few days to a week or longer.
D. "I will ensure that my medications are enteric coated." - This statement is unrelated to ileostomy care. Enteric-coated medications are designed to resist dissolution in the acidic environment of the stomach and instead dissolve in the alkaline environment of the small intestine. It is not directly relevant to stoma care.
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