A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?
“These clients can receive packages after they are privately inspected by security.”
“These clients cannot be considered for a research study.”
“These clients can vote in local and federal elections.”
“These clients cannot refuse their prescribed antipsychotic medications.”
The Correct Answer is C
Choice A reason:
While clients may receive packages, this statement does not specifically address their rights. The focus should be on their fundamental rights and freedoms.
Choice B reason:
Clients who are involuntarily admitted can be considered for research studies, provided they give informed consent and the study is ethically approved.
Choice C reason:
Clients who are involuntarily admitted retain their right to vote in local and federal elections. This is a fundamental right that is not lost due to their admission status.
Choice D reason:
Clients who are involuntarily admitted still have the right to refuse medications, including antipsychotics, unless there is a court order or emergency situation that mandates treatment.
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Correct Answer is D
Explanation
Choice A reason:
Suggesting a sleeping pill is not an example of therapeutic communication as it does not address the underlying issues or provide support. It may also imply a quick fix rather than exploring the client’s feelings and needs.
Choice B reason:
Telling the client that their fatigue will pass and everything will be fine is dismissive and does not validate their feelings. It fails to engage the client in a meaningful conversation about their concerns.
Choice C reason:
Asking if the client has a family member who can assist them is practical but does not fully engage in therapeutic communication. It may be helpful, but it does not explore the client’s feelings or provide emotional support.
Choice D reason:
“Let’s discuss how to get you the help you need” is an example of therapeutic communication. It shows empathy, validates the client’s feelings, and opens a dialogue to explore solutions and support options.
Correct Answer is A
Explanation
Choice A reason:
An unintentional tort occurs when a healthcare provider’s actions or inactions cause harm to a patient without intent to harm. In this scenario, the nurse’s failure to clarify a difficult-to-read prescription, resulting in a medication error, is an example of negligence, which is an unintentional tort.
Choice B reason:
Posting private information about a client on social media is a breach of confidentiality and an intentional tort. This action is deliberate and violates the client’s right to privacy.
Choice C reason:
Placing a client in mechanical restraints without obtaining a prescription, resulting in injury, is an intentional tort. This action involves a deliberate decision to restrain the client without proper authorization, leading to harm.
Choice D reason:
Threatening a client with physical harm is an example of assault, which is an intentional tort. This involves a deliberate act to cause the client to fear imminent harm.
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