When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client?
Select one:
Monitor closely for opioid overdose.
Monitor closely for harm to a family member.
Monitor closely for severe anxiety and stress.
Monitor closely for using Methamphetamines.
The Correct Answer is C
When a client is admitted with an involuntary status, it means that the client did not consent to the admission and was likely admitted due to being a danger to themselves or others. This can lead to increased stress and anxiety for the client, so the nurse should closely monitor the client for signs of severe anxiety and stress.
Options a, b, and d are not appropriate interventions for a client admitted with an involuntary status.
Option a is more appropriate for a client with a history of opioid use.
Option b is more appropriate for a client with a history of violence or aggression towards family members.
Option d is more appropriate for a client with a history of methamphetamine use.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
During a crisis, the client may be at risk of harming themselves or others. The nurse should take steps to ensure the safety of the client and those around them. Once the immediate safety concerns have been addressed, the nurse can then focus on identifying the cause of the client’s anxiety and helping them develop coping skills.
Correct Answer is C
Explanation
Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.
Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.
Option b. Notify the health care provider immediately and give 4 liters of fluids is not an appropriate action because it involves administering fluids without obtaining orders from the health care provider.
Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.
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