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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Autonomy refers to a client’s right to make their own decisions regarding care. Allowing them to choose between morning and afternoon therapy respects their independence and decision-making ability.

B. Justice refers to fairness and equal treatment in healthcare. While offering a choice is ethical, it is not related to ensuring fair resource distribution.

C. Beneficence means acting in the best interest of the client to promote well-being. While giving choices can be beneficial, this scenario specifically highlights autonomy.

D. Nonmaleficence means "do no harm." While respecting choices can prevent distress, this principle is more related to avoiding harm rather than promoting independence.

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." C. “Therapeutic communication is no different than how we communicate in general conversation outside of health care." D. "Therapeutic communication is not as important as medication in the care of our clients."

Correct Answer is B

Explanation

A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." Therapeutic communication is essential in nurse-client interactions, as it builds trust, fosters emotional well-being, and enhances care outcomes.

B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." Therapeutic communication actively supports mental health treatment by ensuring clients feel heard, validated, and understood, which is crucial in emotional and psychological care.

C. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." Everyday communication lacks the structured techniques (e.g., active listening, open-ended questions, empathy) used in therapeutic communication.

D. "Therapeutic communication is not as important as medication in the care of our clients." While medications are critical for treatment, communication is equally vital because it affects adherence, trust, and overall well-being.

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Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

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A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

A nurse wants to improve their therapeutic communication by implementing bias-free language. Which of the following actions should the nurse take to provide bias-free language?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?