In the inpatient behavioral health unit, which clients require someone to make decisions regarding their medical and psychiatric care in their best interest? Select all that apply.

A client who is unable to provide basic needs when resources are available.

A client who acts only in their own interests.

A client who is gravely disabled.

A client with a severe intellectual developmental disorder.

A client who is nonadherent to their medication regimen.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: A client unable to provide for basic needs, despite having resources, may lack the capacity to make informed decisions, necessitating a proxy decision-maker.

Choice B reason: Acting in one's own interest does not necessarily indicate an inability to make informed decisions about care.

Choice C reason: A gravely disabled client may not be able to comprehend the nature of their condition or the consequences of medical decisions, thus requiring assistance.

Choice D reason: Clients with severe intellectual developmental disorders often require a legal guardian to make healthcare decisions on their behalf.

Choice E reason: Nonadherence to medication could be due to various factors, including lack of understanding of the treatment plan, indicating the need for a decision-maker.

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Free Nursing Study Resources

Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.

Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.

Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.

Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.

Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.

Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.

A. Consider a transfer to a unit that does not require counseling of clients. B. Request that another nurse take over the counseling session with the client. C. Discuss with the client the issues surrounding the response made. D. The nurse should examine feelings and responses prior to counseling. E. Talking about feelings and emotions with a trusted colleague.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.

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In the inpatient behavioral health unit, which clients require someone to make decisions regarding their medical and psychiatric care in their best interest? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E","F"]

Explanation

Correct Answer is ["B","D","E"]

Explanation

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