A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?

A client who is a voluntary admission does not have the right to request to be discharged.

A client who is admitted involuntarily has the right to refuse to participate in therapy

A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications.

A client who is a voluntary admission cannot withdraw consent after has been given

Answer and Explanation

The Correct Answer is B

A. A client who is a voluntary admission does not have the right to request to be discharged.

This statement is incorrect. Clients admitted voluntarily to a mental health unit have the right to request discharge from the facility. However, there may be specific procedures and legal requirements to be followed for discharge, but the client ultimately has the right to request it.

B. A client who is admitted involuntarily has the right to refuse to participate in therapy.

This statement is generally true. Even if a client is admitted involuntarily, they still retain certain rights, including the right to refuse treatment such as therapy. However, there may be situations where treatment is deemed necessary for the client's safety or the safety of others, and in such cases, treatment may be provided against the client's wishes following appropriate legal processes.

C. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications.

This statement is generally false. While involuntary admission may involve certain limitations on the client's autonomy, such as restrictions on leaving the facility, clients generally retain the right to refuse medications, including psychotropic medications. However, there are exceptions to this rule, such as when a client's refusal poses an imminent risk to their safety or the safety of others, in which case treatment may be provided following legal procedures.

D. A client who is a voluntary admission cannot withdraw consent after it has been given.

This statement is incorrect. Clients who are admitted voluntarily have the right to withdraw their consent for treatment or participation in any aspect of their care, including interventions previously agreed upon. However, similar to involuntary admissions, there may be situations where treatment is deemed necessary for the client's well-being, and in such cases, withdrawal of consent may be overridden following appropriate legal processes.

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Correct Answer is B

Explanation

A. Give the client a cup of hot black tea before bed: Consuming caffeinated beverages such as black tea before bed can interfere with sleep and exacerbate sleep disturbances. This instruction is not appropriate for addressing sleep issues in Alzheimer's disease.

B. Wake the client at the same time each morning: Maintaining a consistent wake-up time can help regulate the client's sleep-wake cycle and promote better sleep hygiene. Consistency in waking time is an important aspect of managing sleep disturbances in Alzheimer's disease.

C. Take the client for a walk 2 hours before bedtime each night: Engaging in physical activity during the day, including taking a walk, can promote better sleep patterns. However, engaging in vigorous physical activity close to bedtime may have the opposite effect and disrupt sleep.

D. Allow the client to take a 90-min nap immediately after lunch: While brief daytime naps may be beneficial for some individuals with Alzheimer's disease, allowing a 90-minute nap immediately after lunch may interfere with the client's ability to consolidate nighttime sleep and worsen sleep disturbances.

A. Illusion B. Hallucination C. Attention-seeking behavior D. Self-mutilation

Correct Answer is D

Explanation

A. Illusion: An illusion is a misinterpretation or misperception of a real external stimulus. It involves a distortion of sensory perception, but the client's statement does not suggest a misperception of reality.

B. Hallucination: A hallucination is a sensory perception in the absence of any external stimulus. It involves experiencing something that is not present in reality. The client's statement does not indicate experiencing a sensory perception that is not real.

C. Attention-seeking behavior: While the client's statement may draw attention to their distress, it is important not to dismiss it as merely attention-seeking behavior. The client's request for the pen to alleviate emotional pain suggests a deeper psychological issue and a genuine risk for self-harm.

D. Self-mutilation: Self-mutilation refers to intentional self-inflicted injury or harm to one's body tissue without the intent to die. The client's statement about using the pen to cut the pain out of their chest indicates a clear risk for self-mutilation.

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A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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