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 A
Explanation
The first and most important step that the nurse should take is to report the medication error immediately to the nurse manager or supervisor. Medication errors can have serious consequences for patients and it is important to take immediate action to address the situation. Reporting the error to the supervisor will allow for a timely assessment of the patient's condition and any necessary interventions.
Telling the patient or a co-worker about the error is not the first step the nurse should take. It is important to first ensure that the error is reported to the appropriate person who can take action to address the situation. If there is no adverse effect on the patient, it is still important to report the error to prevent any potential harm in the future. Ignoring the error or not reporting it is not an appropriate response and can have serious consequences for the patient's safety.
Correct Answer is A
Explanation
Breach of confidentiality occurs when private and sensitive information is disclosed to others without the client's consent. In this scenario, the co-workers are discussing a client's mental health condition in a public place where their conversation can be overheard by others. This is a violation of the client's right to privacy and confidentiality.
The co-workers could be held liable for breaching the client's confidentiality and may face disciplinary action or legal consequences. It is important for healthcare providers to maintain confidentiality to protect their clients' privacy and trust.
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