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.”. . . .
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Seeking out a staff member during urges to self-harm demonstrates the effectiveness of a verbal safety contract. This behavior indicates the client is adhering to the agreement by reaching out for support instead of acting on the urges, signifying an increased ability to manage self-destructive impulses through communication and engagement with the treatment team.
Choice B rationale
Spending time alone when experiencing overwhelming feelings might indicate avoidance rather than effective coping. While some alone time can be therapeutic, relying solely on isolation could prevent the client from practicing new coping skills and engaging with support systems, potentially undermining the safety contract's goal of seeking help.
Choice C rationale
Avoiding discussion of difficult emotions with the treatment team suggests a lack of trust or engagement in the therapeutic process. An effective safety contract relies on open communication about feelings and urges to ensure the client receives timely support and can work through difficult emotions in a safe environment.
Choice D rationale
Attempting to suppress feelings of anger and frustration is an unhealthy coping mechanism. Suppressing emotions can lead to a buildup of internal tension, potentially increasing the likelihood of acting on self-harm urges. A safety contract aims to help the client identify and express emotions in constructive ways, not suppress them.
Correct Answer is ["15"]
Explanation
Step 1 is: Determine the desired dose: 7.5 mg.
Step 2 is: Determine the concentration on hand: 2.5 mg ÷ 5 mL.
Step 3 is: Set up the calculation: (7.5 mg × 5 mL) ÷ 2.5 mg.
Step 4 is: Perform the multiplication: 37.5 mg·mL ÷ 2.5 mg.
Step 5 is: Perform the division: 15 mL.
Final answer: The nurse should administer 15 mL.
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