A nurse is providing information to a client who is seeking voluntary admission to a mental health facility. Which of the following information should the nurse include?
"You cannot leave until your provider discharges you."
"You will give up your right to refuse treatment upon admission."
"You will still need to give informed consent for treatments after admission."
"Your provider will notify your employer of your admission."
The Correct Answer is C
Choice A reason: In voluntary admission, the client retains the right to request discharge. They are not confined until the provider discharges them unless they are deemed unsafe, in which case the admission may be converted to involuntary. Therefore, this statement is inaccurate.
Choice B reason: Voluntary admission does not remove the client’s right to refuse treatment. Clients must still consent to interventions, and refusal must be respected unless there is a legal order or emergency situation.
Choice C reason: Informed consent is a fundamental principle of patient rights. Even after voluntary admission, the client must be educated about proposed treatments, risks, and alternatives, and must agree before interventions are carried out. This ensures autonomy and ethical care.
Choice D reason: Providers are not required to notify employers of a client’s admission. Confidentiality laws protect patient privacy, and disclosure without consent would violate ethical and legal standards.
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Correct Answer is C
Explanation
Choice A reason: Checking on the client every 30 minutes is not frequent enough for a client who has recently attempted suicide. Standard suicide precautions require continuous observation or checks every 15 minutes to ensure safety. Every 30 minutes leaves too much time for potential self-harm.
Choice B reason: Requesting family members to bring personal hygiene items from home is unsafe because these items may include sharp objects such as razors, scissors, or glass containers. Allowing unscreened items into the client’s environment increases the risk of self-harm.
Choice C reason: Providing plastic eating utensils is the correct intervention because it minimizes the risk of self-injury. Metal utensils can be broken or sharpened into dangerous objects, while plastic utensils are safer and reduce opportunities for harm. This intervention aligns with suicide precautions.
Choice D reason: Keeping the client’s door closed at night is unsafe because it prevents staff from easily observing the client. Doors should remain open or observation should be unobstructed to allow continuous monitoring and rapid intervention if needed.
Correct Answer is D
Explanation
Choice A reason: Specific body postures are associated with practices like yoga or tai chi, not biofeedback.
Choice B reason: Improving range of motion is linked to physical therapy or exercise interventions, not biofeedback.
Choice C reason: Concentrating on soothing images is a relaxation technique such as guided imagery, not biofeedback.
Choice D reason: Biofeedback therapy teaches clients to recognize and control physiological responses such as blood pressure, heart rate, and muscle tension. This statement correctly reflects the purpose of biofeedback.
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