A client was involuntarily admitted to a behavioral health facility after trying to harm himself. Which statement by the client would indicate further education is needed regarding his rights?
“You can’t tell my boss that I attempted suicide.”
“I can understand why you restrained me when I threatened you.”
“I can leave anytime I tell you I am not going to hurt myself.”
“I may be here, but I still have the right to vote.”
The Correct Answer is C
This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staff they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.
Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.
Option B shows an understanding of the reason for the use of restraints.
Option D demonstrates awareness of the right to vote, which is not affected by mental health status.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The ethical principle of justice governs this situation. Justice refers to the fair and equal treatment of all individuals. In this case, the nurse is concerned about whether staff are behaving ethically by using different approaches to prevent self-mutilation in two different clients. The principle of justice would require that both clients receive fair and equal treatment based on their individual needs and circumstances.
Correct Answer is A
Explanation
Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.
Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.
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