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 C

Explanation

A. Encourage the client to attend group therapy sessions: While group therapy can be beneficial for some individuals with panic disorder by providing support and opportunities for learning coping strategies, it may not be appropriate for all clients. Some clients may feel overwhelmed or anxious in group settings, especially during panic attacks. The nurse should assess the client's readiness and comfort level with group therapy and individualize the treatment plan accordingly.

B. Allow the client to choose scheduled daily activities: Providing the client with a sense of control and autonomy over their daily activities can be helpful in managing anxiety and panic symptoms. However, this intervention alone may not address the specific cognitive and behavioral aspects of panic disorder. It is important to incorporate other evidence-based interventions, such as cognitive-behavioral therapy (CBT) techniques, into the treatment plan to address the underlying causes of panic attacks.

C. Use simple words to describe procedures to the client: Individuals with panic disorder may experience difficulty processing information and focusing during panic attacks or periods of heightened anxiety. Using simple and clear language to describe procedures can help reduce confusion and alleviate anxiety in these situations. It is important to provide information in a calm and reassuring manner to facilitate understanding and cooperation.

D. Avoid discussing topics that can trigger a panic attack: While it is important to be mindful of potential triggers for panic attacks, avoiding all discussion of triggering topics may not be practical or helpful in the long term. Instead, the nurse should work collaboratively with the client to identify triggers and develop coping strategies to manage them effectively. Avoidance alone may reinforce avoidance behaviors and perpetuate anxiety.

A. Polyphagia B. Fever C. Bradycardia D. Oliguria

Correct Answer is B

Explanation

A. Polyphagia: Polyphagia refers to excessive hunger or increased appetite. Cocaine use is not typically associated with increased appetite; in fact, it often suppresses appetite. Therefore, polyphagia is not an expected finding.

B. Fever: Cocaine use can lead to an increase in body temperature due to its stimulant effects on the central nervous system. Therefore, fever is a possible finding associated with cocaine use.

C. Bradycardia: Cocaine use is more commonly associated with tachycardia, an elevated heart rate, rather than bradycardia. Stimulants like cocaine typically increase heart rate and can cause palpitations and arrhythmias.

D. Oliguria: Oliguria refers to decreased urine output. While cocaine use can have various effects on the body, it is not typically associated with oliguria. Instead, it can lead to increased urinary frequency due to its stimulant effects.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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