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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Correct Answer is A

Explanation

Choice A reason: Weight gain is indeed a known side effect of lithium treatment, and acknowledging this can validate the client's experience.

Choice B reason: This response could be perceived as blaming and does not acknowledge that weight gain can be a side effect of lithium.

Choice C reason: This statement is misleading as weight gain can occur beyond the first month of treatment with lithium.

Choice D reason: This statement is incorrect as weight loss is not the typical pattern associated with lithium; weight gain is more common.

A. Sharing personal feelings openly with the client B. Establishing boundaries for both the nurse and client C. Offering sound advice to the client D. Avoiding concern with whether the client likes the nurse E. Maintaining a client focus at all times

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

Explanation

Choice A reason: Sharing personal feelings openly with the client can blur the professional boundaries necessary for a therapeutic relationship and is not typically encouraged.

Choice B reason: Establishing boundaries is crucial in maintaining a professional and therapeutic relationship, ensuring that both the nurse and client understand the limits and expectations of their interactions.

Choice C reason: While offering advice can be part of the therapeutic process, it is more important for the nurse to guide clients in finding their own solutions rather than providing direct advice.

Choice D reason: A therapeutic relationship should be professional and not based on personal feelings. The nurse's concern should be on the client's well-being rather than being liked.

Choice E reason: Maintaining a client focus at all times ensures that the care provided is centered on the client's needs, which is essential in a therapeutic relationship.

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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

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

Correct Answer is A

Explanation

The nurse maintains a therapeutic relationship with several clients on the behavioral health unit. Which characteristics will be most important for the nurse to foster to maintain these relationships? Select all that apply.

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

Explanation

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

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