A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

"Your provider is required to notify your employer of your admission."

"You will still need to give informed consent for treatments after admission."

"You cannot leave the facility until your provider completes a discharge summary."

"You will give up your right to refuse antidepressant medications upon admission."

Answer and Explanation

The Correct Answer is B

A.   This statement is not necessarily accurate and could cause undue concern. Providers are not typically required to notify employers of a patient's admission to a mental health facility due to confidentiality regulations.
B.   Informed consent for treatments, interventions, or medications is an ongoing process, and the client maintains this right even after admission to the facility. It's crucial to ensure the client
understands this.
C.   While there are restrictions on leaving against medical advice (AMA) in some situations, the statement is too absolute. The client's ability to leave might depend on specific circumstances.
D.   This statement is not entirely true. Even in an inpatient setting, patients generally have the right to refuse medications, although there might be discussions about treatment plans.

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Correct Answer is ["B","C"]

Explanation

A. The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B. Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C. Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D. The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.

A. Antidepressant medications alter catecholamine levels, which impair decision-making abilities. B. The patient needs time to reorient him or herself to a pressured work schedule. C. Temporary memory impairments and confusion can be associated with electroconvulsive therapy. D. Antidepressant medications may cause confusion related to a limitation of tyramine in the diet.

Correct Answer is C

Explanation

A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.

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A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

Correct Answer is C

Explanation

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