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 D

Explanation

A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.

B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.

C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.

D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.

A. The nurse describes what happened by providing general and broad details. B. The nurse includes the client's own words when describing what happened. C. The nurse describes what happened subjectively. D. The nurse includes the opinions of other team members.

Correct Answer is B

Explanation

A. The nurse describes what happened by providing general and broad details. Incident reports should be factual, objective, and specific, not general or vague.

B. The nurse includes the client's own words when describing what happened. Including direct quotes from the client ensures accuracy and avoids interpretation or bias.

C. The nurse describes what happened subjectively. Incident reports must be objective, avoiding personal opinions or assumptions.

D. The nurse includes the opinions of other team members. Only document observable facts and direct quotes—opinions should not be included.

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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 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?

Correct Answer is D

Explanation

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

Correct Answer is B

Explanation

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