An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response?
Select one:
"l will get them for you. but let's talk about your decision to leave treatment."
'Since you signed your consent for treatment, you may leave if you desire, it is ok."
“l can’t give you those forms without your health care provider's knowledge."
"I'll get the forms for you right now and bring them to your room."
The Correct Answer is A
This response acknowledges the client's request for the forms while also addressing the need to discuss the client's decision to leave treatment. It provides an opportunity for the nurse to explore the client's reasons for wanting to leave, discuss the potential consequences of leaving against medical advice, and address any concerns or fears the client may have about continuing treatment.
Option b is not appropriate because it does not address the potential risks associated with leaving treatment against medical advice.
Option c is also not appropriate because it does not acknowledge the client's request and is potentially misleading.
Option d is not appropriate because it does not address the client's reasons for wanting to leave or the potential consequences of leaving against medical advice.
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Related Questions
Correct Answer is D
Explanation
Refeeding syndrome is a potentially life-threatening complication that can occur when a person with anorexia nervosa or other forms of malnutrition begins to eat again after a period of starvation. It is characterized by electrolyte imbalances and fluid shifts that can lead to cardiovascular dysfunction, including heart failure and arrhythmias. Therefore, when caring for a patient with anorexia nervosa who is being refed, it is important for the nurse to closely monitor the patient’s cardiovascular system for signs of dysfunction.
Option a. Endocrine system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.
Option b. Respiratory system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.
Option c. Musculoskeletal system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.
Correct Answer is C
Explanation
During the termination phase of the nurse-client relationship, the nurse should focus on making appropriate referrals to ensure that the client continues to receive the care and support they need after the relationship with the nurse has ended.
Option a. Developing realistic solutions is an important task during the working phase of the nurse-client relationship, when the nurse and client work together to identify and implement solutions to the client’s problems.
Option b. Building rapport and trust is an important task during the orientation phase of the nurse-client relationship, when the nurse and client get to know each other and establish a therapeutic relationship.
Option d. Identifying expected outcomes is an important task during the planning phase of the nursing process, when the nurse and client work together to set goals and develop a plan of care.
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