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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
The prescribed daily dosage is 150 mg.
The tablets available are 37.5 mg each.
To find out how many tablets to administer, we divide the prescribed dosage by the tablet strength.
In this case, 150 mg ÷ 37.5 mg/tablet = 4 tablets.
Therefore, the nurse should administer 4 tablets to meet the prescribed dosage of 150 mg.
Correct Answer is ["A","C","D"]
Explanation
Why did you do that? - This question can come across as judgmental and accusatory, and may cause the client to become defensive or feel criticized.
Tell me more about your relationship with your daughter? - This question encourages the client to open up and share more about themselves, which can promote effective communication.
This is what I think you should say. - This response takes away the client's autonomy and can make them feel like their feelings and opinions are not important.
Don’t stress over it, everything will turn out fine. - This response minimizes the client's concerns and can make them feel like their feelings are not valid or important. It can also come across as dismissive and unempathetic.
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