A nurse is caring for a client admitted to a mental health facility who asks. “Can I refuse the Electroconvulsive Therapy (ECT) treatment scheduled for tomorrow?” Which is the appropriate answer for the nurse?

You have given signed consent for the treatments after they were explained to you.

You will feel better after the course of treatments.

You can refuse them, but the provider believes they are necessary.

You have the right to refuse even though the consent form has been signed.

Answer and Explanation

The Correct Answer is D

Every patient has the right to refuse treatment, including Electroconvulsive Therapy (ECT), even if they previously provided consent. The nurse should respect the client's autonomy and inform the client of their right to refuse the treatment, even if the healthcare provider believes it is necessary. It is important for the nurse to discuss the potential risks and benefits of the treatment with the client to make an informed decision. The nurse should also document the client's decision and communicate it with the healthcare provider.

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Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

A. Tell the client to stop the healing practices because it can be harmful to their health B. Respect and allow the client to continue if the healing practices are not harmful to the client's health C. Ask the client why they use the healing practices D. Tell the client they can continue the healing practices at home but not in the hospital

Correct Answer is B

Explanation

It is important for healthcare providers to respect their clients’ cultural beliefs and practices, including their use of traditional healing methods. If the healing practices are not harmful to the client’s health, the nurse should allow the client to continue using them as part of their care. The nurse can also work with the client to integrate these practices into their overall treatment plan.

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A nurse is caring for a client admitted to a mental health facility who asks. “Can I refuse the Electroconvulsive Therapy (ECT) treatment scheduled for tomorrow?” Which is the appropriate answer for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Correct Answer is C

Explanation

Some cultures are likely to engage in self-treatment using healing processes and may diﬀer from Western medicine. The nurse is caring for a client who uses these healing practices. What is the best action by the nurse?

Correct Answer is B

Explanation

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