A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

Refer the case to the facility's ethics committee.

Document the client's refusal of the medication in the medical record.

Administer the medication by another route.

Inform the client that due to her involuntary admission, she cannot refuse a sedative.

Answer and Explanation

The Correct Answer is B

Choice A reason: Referring the case to the ethics committee is not the immediate action required.

Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.

Choice C reason: Administering the medication by another route without consent is not appropriate.

Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.

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Correct Answer is B

Explanation

Choice A reason: Telling a patient they can't wear steel-tipped boots is a safety measure and does not violate patients' rights.

Choice B reason: The correct answer is b) because patients have the right to communicate with their family, and restricting this without a valid safety concern violates their rights.

Choice C reason: Telling a patient they can't save scheduled medication is a safety measure to ensure proper medication administration.

Choice D reason: Inspecting a food basket for safety reasons is not a violation of patients' rights.

A. Remaining with the client while family members visit. B. Asking the nurse at lunchtime to assign another LPN for this task until their return. C. Ambulating the client's roommate while the client is on suicide precautions. D. Accompanying the client to physical and occupational therapy.

Correct Answer is C

Explanation

Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.

Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.

Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.

Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.

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A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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