A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor.
To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?
Whether the client is unable to make arrangements to stay with someone.
Whether the client is financially incapable of paying for medications.
Whether the client is in danger of harming herself or others.
Whether the client is unwilling to accept that treatment is needed.
The Correct Answer is C
Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.
In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.
Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.
Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.
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Related Questions
Correct Answer is ["B","C","D"]
Explanation
Involuntary admission to a psychiatric facility, also known as involuntary commitment, is a legal process in which a person is admitted to a psychiatric hospital without their consent. The criteria for involuntary admission may vary depending on the jurisdiction, but generally include a determination that the person is a danger to themselves or others or is unable to care for themselves due to a mental illness.
Therefore,
Options b, c, and d are all valid reasons for involuntary admission, as they relate to the person's ability to cause harm to themselves or others or their inability to care for themselves.
Options a and e, on the other hand, are not valid reasons for involuntary admission as they do not relate to the person's mental state or potential for harm to themselves or others.
Correct Answer is A
Explanation
The nurse is experiencing an ethical dilemma because there are conflicting values and ethical principles that need to be considered in this situation. On one hand, the nurse has a duty to maintain the confidentiality of the information shared by each client. On the other hand, the nurse also has a duty to promote the well-being of each client, which may require sharing information between them.
Additionally, there may be issues of autonomy, justice, and beneficence that need to be considered when deciding on the best course of action. It is important for the nurse to carefully consider all of these factors and make a decision that is in the best interest of both clients while upholding ethical principles.
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