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. A client who is experiencing withdrawal from oxycodone: While withdrawal from opioids like oxycodone can cause various symptoms, including agitation, anxiety, and muscle aches, it's not typically associated with an increased risk of seizures.

B. A client who is experiencing withdrawal from diazepam: Withdrawal from benzodiazepines like diazepam can indeed increase the risk of seizures. Abrupt cessation of benzodiazepines after prolonged use can lead to withdrawal symptoms, including seizures. Therefore, seizure precautions would be appropriate for this client.

C. A client who has a low lithium level: Low lithium levels can potentially lead to lithium toxicity, which can cause various symptoms, but seizures are not commonly associated with low lithium levels. However, in severe cases of lithium toxicity, seizures can occur.

D. A client who has a low imipramine level: Imipramine is a tricyclic antidepressant (TCA). Low levels of TCAs are not typically associated with an increased risk of seizures. However, high levels of TCAs can be toxic and may lead to seizures.

A. Initiate one-to-one observation. B. Encourage the client to participate in group activities C. Administer an antidepressant D. Set up a time for individual meetings with the client

Correct Answer is A

Explanation

A. Initiate one-to-one observation: This intervention involves assigning a staff member to directly observe and monitor the client continuously. It is crucial in ensuring the client's safety, particularly after a suicide attempt, as it helps prevent further harm or self-injury. Therefore, initiating one-to-one observation is the priority intervention.

B. Encourage the client to participate in group activities: Group activities may be beneficial for the client's overall well-being and recovery, but they are not the priority immediately after a suicide attempt. Safety and stabilization take precedence.

C. Administer an antidepressant: While antidepressant medication is an essential component of treatment for major depressive disorder, initiating medication is not the priority at this moment. The client's safety and stabilization should be addressed first before starting pharmacological treatment.

D. Set up a time for individual meetings with the client: Individual meetings and therapeutic interventions are important for addressing the client's mental health needs, but they are not the priority immediately after a suicide attempt. Safety measures should be implemented first.

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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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