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.

Answer and Explanation

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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Correct Answer is D

Explanation

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

A. Swanson B. Bailey C. Nightingale D. Richards

Correct Answer is C

Explanation

Florence Nightingale was a pioneer in the field of nursing and is considered the founder of modern nursing. She recognized the importance of a clean environment in promoting health and preventing disease transmission. Nightingale's work during the Crimean War in the 1850s led to significant improvements in sanitation and hygiene in hospitals. She emphasized the need for clean water, fresh air, and proper disposal of waste to reduce the spread of infection.

Nightingale's approach to nursing included the promotion of health and the prevention of illness through environmental measures, such as maintaining a clean and well-ventilated environment. Therefore, the act of developing a clean environment is a factor in providing eﬀective health care as demonstrated by Florence Nightingale.

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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?

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Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is D

Explanation

The act of developing a clean environment is a factor in providing eﬀective health care as demonstrated by:

Correct Answer is C

Explanation

Order reads Wellbutrin 150 mg po daily. On hand the nurse has 50 mg tablets. How many tablets will the nurse administer? Enter your answer in numbers.

The following types of patients require adaptive communication techniques: (Select all that apply)

A nurse tells a client that she will be back in 10 minutes to re-assess the client’s pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse. Which of the following will be the appropriate action to take?

The capacity to understand or feel what another person is experiencing from within the other persons frame of reference i.e., the capacity to place oneself in another person’s position:

While dining in a restaurant the nurse overhears two co-workers in the next booth discussing a client who is being cared for on the mental health unit which they work. What action have the nurse’s co-workers committed for which they could be held liable for?

A client can be involuntarily admitted to a psychiatric facility for the following reasons: (Select all that apply)

The psychiatrist asks the nurse to perform a procedure that she is not familiar with and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to this question?

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?