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.
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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Related Questions
Correct Answer is C
Explanation
The client is experiencing fear and anxiety while awaiting the biopsy report, which is a common reaction.
Response a, “Worrying is not going to help the situation," may come across as dismissive or insensitive, and may make the client feel like their emotions are not valid.
Response b, “Let’s wait until we hear what the biopsy report says," may be appropriate in some situations, but it does not acknowledge the client's emotions or offer any support.
Response d, “Operations are not performed unless there are no other options,” is not a relevant response to the client's fear of a cancer diagnosis.
The most appropriate response, option c, acknowledges the client's feelings and offers support, which can help the client feel heard and validated. The nurse can also offer additional support by providing information on coping mechanisms or resources available to the client to help them manage their anxiety while they wait for the results.
Correct Answer is C
Explanation
The nurse’s action of placing the client in the seclusion room until he admits responsibility for the fight in the day room could be viewed as false imprisonment. False imprisonment is the unlawful restraint of a person against their will. In this case, the nurse is using the seclusion room to restrain the client against their will and is conditioning their release on admitting responsibility for the fight, which could be considered unlawful.
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