A nurse is caring for a client who was voluntarily admitted to an acute mental health unit and asks, "You aren't going to make me take medication, are you?" Which of the following responses should the nurse make?

"If the provider prescribes medication, I will have to administer it.”.

"You agreed to take medication when you decided to be admitted.”.

"You have the right to refuse to take the medication.”.

"I can make a list of the medications that you don't want to take.”. . . .

Answer and Explanation

The Correct Answer is C

Choice A rationale

"If the provider prescribes medication, I will have to administer it" is an inaccurate statement regarding a voluntarily admitted client's rights. Voluntarily admitted clients generally retain the right to refuse medication, even if it is prescribed by a provider. This response undermines the client's autonomy.

Choice B rationale

"You agreed to take medication when you decided to be admitted" is also generally inaccurate for voluntary admissions. While the client may agree to a treatment plan that includes medication, voluntary admission itself does not automatically equate to mandatory medication administration. The client still has the right to refuse.

Choice C rationale

"You have the right to refuse to take the medication" is the correct and most appropriate response. Voluntarily admitted clients retain their right to informed consent and the right to refuse treatment, including medication, unless there is a specific court order indicating otherwise or an imminent risk of harm to themselves or others. This response respects the client's autonomy.

Choice D rationale

"I can make a list of the medications that you don't want to take" is a helpful action in acknowledging the client's concern and preferences. However, it does not directly address the client's question about their right to refuse medication. While documenting preferences is important, the initial response should clearly state their right to refusal. .

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["C","F","G","H"]

Explanation

The statements that indicate the client is progressing as expected include:

Client has identified several coping mechanisms when they feel tempted to use substances.
Client has written a plan for what to do if relapse should occur.
Client states that they are willing to participate in outpatient therapy following discharge.
Client states that they have a plan to receive their methadone daily following discharge.

These statements demonstrate the client’s ability to recognize and implement strategies for managing cravings, their proactive approach to relapse prevention, and their willingness to continue treatment after discharge—all signs of expected progress in recovery. However, uncertainty about post-discharge living arrangements and eagerness to reconnect with old friends could present challenges, as returning to previous environments may increase relapse risk. Continued support and planning are essential for a successful transition.

A. Rare: Stevens-Johnson syndrome, Drug reaction with eosinophilia and systemic symptoms (DRESS) B. Interactions: Carbamazepine, phenobarbital, oral contraceptives, valproic acid. C. Route/Dosage: 25 mg PO daily. D. Implementation: Can be administered with or without meals. Taper dosage gradually when beginning and discontinuing. E. Contraindications/Precautions: Impaired renal function, impaired hepatic function. F. Monitor for alterations in hepatic and renal function, temperature, rash.

Correct Answer is ["A","F"]

Explanation

The information from the drug reference that supports the decision to withhold lamotrigine includes:

Rare: Stevens-Johnson syndrome, Drug reaction with eosinophilia and systemic symptoms (DRESS).
Monitor for alterations in hepatic and renal function, temperature, rash.

The presence of a red rash and petechiae on the client’s trunk and abdomen raises concern for a potential serious adverse reaction, such as Stevens-Johnson syndrome or DRESS, which are rare but severe. Since lamotrigine carries a risk for these potentially life-threatening conditions, withholding the medication until further evaluation by the healthcare provider is the appropriate course of action. Monitoring for worsening skin reactions and systemic symptoms remains crucial in determining the safest approach for the client’s treatment plan.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who was voluntarily admitted to an acute mental health unit and asks, "You aren't going to make me take medication, are you?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","F","G","H"]

Explanation

Correct Answer is ["A","F"]

Explanation

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt.Which of the following behaviors indicates that the contract has been effective?

A nurse is caring for a male client who is to begin therapy with valproic acid.Which of the following diagnostic results should the nurse plan to review before administering the first dose?

A nurse is contributing to the plan of care for a client who has acute delirium.Which of the following interventions should the nurse include in the plan of care?

A nurse is receiving report on four clients at the beginning of the shift.Which of the following clients should the nurse check first?

A nurse is caring for multiple clients on a mental health unit.Which of the following clients should the nurse attend to first?

A nurse is contributing to the plan of care for a client who is experiencing severe alcohol withdrawal.Which of the following interventions should the nurse contribute to the plan of care?

A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse, "This baby constantly cries. My partner works all the time, and I can't take any more.”. Which of the following responses is the nurse's priority?