A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Keep the client hospitalized until there is no longer a threat.

Ensure the client's ex-partner is notified of the threat.

Ask a friend or family member to monitor the client.

Transfer the client to a mental health facility.

Answer and Explanation

The Correct Answer is B

A reason: Keep the client hospitalized until there is no longer a threat. The nurse does not have the authority to independently keep the client hospitalized based on the threat. This decision involves a multidisciplinary approach and, if necessary, legal intervention.

B reason: Ensure the client's ex-partner is notified of the threat. The nurse has a legal and ethical duty to warn individuals who are at risk of harm. Ensuring the ex-partner is notified of the threat is an essential step to protect them from potential danger.

C reason: Ask a friend or family member to monitor the client. While involving friends or family in the client's care is important, it is not the primary legal duty in this situation. Professional intervention and appropriate authorities should be notified.

D reason: Transfer the client to a mental health facility. Transferring the client to a mental health facility may be necessary for their safety and well-being, but the immediate legal duty is to ensure the threatened individual is informed and protected.

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Correct Answer is C

Explanation

A reason: "These clients can receive packages after they are privately inspected by security." While security measures might be in place for the safety of all clients, it does not address a fundamental right of involuntarily admitted clients.

B reason: "These clients cannot be considered for a research study." Involuntarily admitted clients can be considered for research studies, but participation must be voluntary, and informed consent is required.

C reason: "These clients can vote in local and federal elections." Clients who are involuntarily admitted retain their civil rights, including the right to vote in local and federal elections. This statement accurately reflects their rights.

D reason: "These clients cannot refuse their prescribed antipsychotic medications." Involuntarily admitted clients retain the right to refuse medication, except in specific situations where they are deemed a danger to themselves or others, and legal protocols are followed.

A. Lack of eye contact. B. Inability to play quietly. C. Constant spinning of a toy. D. Withdrawal from physical contact. E. Repeated voicing in clothes.

Correct Answer is ["A","C","D"]

Explanation

A reason: Lack of eye contact. Children with autism spectrum disorder (ASD) often exhibit reduced or lack of eye contact, which can be a key indicator of social communication difficulties associated with ASD.

B reason: Inability to play quietly. While some children with autism might exhibit hyperactive behavior, an inability to play quietly is not a specific characteristic of ASD. It can be seen in various conditions, including attention deficit hyperactivity disorder (ADHD).

C reason: Constant spinning of a toy. Repetitive behaviors, such as spinning objects, are common in children with ASD. These behaviors provide sensory input and can be calming for the child.

D reason: Withdrawal from physical contact. Children with ASD often withdraw from physical contact due to sensory sensitivities. They might find certain touches uncomfortable or overwhelming.

E reason: Repeated voicing in clothes. Repeating phrases or sounds, known as echolalia, is common in ASD, but "repeated voicing in clothes" does not accurately describe this behavior. It seems like a typographical error.

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A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

Correct Answer is C

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A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect?

Correct Answer is ["A","C","D"]

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