Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?
“Clients must always have a family member present during treatment to ensure their rights are protected."
"Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others."
"Clients have the right to refuse medication unless a court order mandates it."
"All client interactions must be recorded, even if they are informal and unrelated to their care plan."
The Correct Answer is C
A. “Clients must always have a family member present during treatment to ensure their rights are protected.” Clients have the right to privacy and do not require a family member’s presence for treatment unless legally mandated (e.g., minors).
B. "Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others." Clients can be discharged when they are no longer a risk, even if they disagree, unless under a legal hold.
C. "Clients have the right to refuse medication unless a court order mandates it." Clients have the right to refuse treatment unless a court order requires medication for safety or competency.
D. "All client interactions must be recorded, even if they are informal and unrelated to their care plan." Only relevant, objective, and care-related information should be documented, as excessive documentation can violate privacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "It can increase their risk for falls." Sedating medications, such as benzodiazepines and antipsychotics, increase fall risk due to drowsiness and impaired coordination.
B. "It increases their risk of experiencing a stroke." While some antipsychotics increase stroke risk, this is not the most relevant concern for sedating medications in dementia patients.
C. "It can increase their blood pressure." Most sedatives lower blood pressure rather than increase it.
D. "It can increase their risk for infection." Sedating medications do not directly increase infection risk.
Correct Answer is A
Explanation
A. The client must be calm and cooperative. Restraints should be removed as soon as the client is calm and no longer poses a threat to themselves or others. Continued use without justification can be considered unethical and unlawful.
B. The client must verbalize remorse for their behavior. Remorse is not a requirement for restraint removal. Some clients may lack insight into their actions due to mental illness or cognitive impairment. The focus should be on safety, not forced expressions of regret.
C. The client only verbalizes anger toward the staff. Expressing anger alone is not a justification for continued restraint. As long as the client is not aggressive or violent, they should not remain restrained.
D. The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. Nurses can remove restraints without the provider physically present if the client meets the criteria for release. However, they must document the assessment and notify the provider.
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