A nurse is caring for a client who states they do not want to take their antidepressant. The nurse should understand that this demonstrates which of the following client rights?
The right to be free from unnecessary treatment.
The right to informed consent.
The right to decline medication.
The right to have an attorney review their plan of care.
The Correct Answer is C
Choice A reason: While clients have the right to avoid unnecessary treatment, this option is vague and does not directly address medication refusal.
Choice B reason: Informed consent involves understanding risks and benefits, but the act of refusal is better captured by the right to decline treatment.
Choice C reason: Clients have the legal and ethical right to refuse medication unless they are deemed incompetent or under involuntary treatment. This is the most accurate and specific answer.
Choice D reason: Legal review of care plans is not a standard right in routine care and is not relevant to medication refusal.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Clients with severe mental illness retain the right to create psychiatric advance directives unless legally deemed incompetent. Denying this right violates autonomy and federal protections.
Choice B reason: While a provider’s order is required for restraints, the priority is immediate safety. In emergencies, restraints may be applied first with a verbal order followed by a written one.
Choice C reason: Clients may withdraw consent verbally or in writing. Requiring written withdrawal exclusively is overly restrictive and not supported by ethical or legal standards.
Choice D reason: Confidentiality is a core principle, but exceptions exist. The duty to warn—such as when a client poses a serious threat to others—requires disclosure to protect potential victims, aligning with legal precedents like Tarasoff v. Regents.
Correct Answer is A
Explanation
Choice A reason: Lorazepam, a benzodiazepine, is the first-line treatment for moderate to severe alcohol withdrawal. It reduces CNS hyperactivity, prevents seizures, and stabilizes vital signs.
Choice B reason: Disulfiram is used for long-term abstinence by inducing aversive reactions to alcohol. It is contraindicated during acute withdrawal due to risk of worsening symptoms.
Choice C reason: Naltrexone is used for relapse prevention by reducing cravings. It is not appropriate during withdrawal and may precipitate symptoms if opioids are present.
Choice D reason: Haloperidol may be used for agitation or hallucinations but does not address the autonomic instability of withdrawal. It is not a primary treatment for tremors or elevated vitals.
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