A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
A client who has a new diagnosis of major depressive disorder
A client who has repeated acute care admissions due to schizophrenia
A client who has requested family therapy following the death of a family member
A client who has physical injuries following an incident of partner violence
The Correct Answer is B
A. A client who has a new diagnosis of major depressive disorder: While major depressive disorder can significantly impact functioning and may require treatment, it typically does not meet the criteria for ACT, which is primarily designed for individuals with severe and persistent mental illness.
B. A client who has repeated acute care admissions due to schizophrenia: Repeated acute care admissions due to schizophrenia suggest significant challenges in managing the illness and maintaining stability in the community. This client may benefit from the intensive support and comprehensive services provided by ACT to prevent future hospitalizations and promote community integration.
C. A client who has requested family therapy following the death of a family member: Family therapy may be an appropriate intervention for supporting this client's grieving process and addressing family dynamics. However, it does not necessarily indicate the need for ACT, which is focused on individuals with severe and persistent mental illness.
D. A client who has physical injuries following an incident of partner violence: While this client may require support and interventions to address the effects of partner violence, it does not specifically indicate the need for ACT unless there are underlying severe and persistent mental health issues contributing to the situation.
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Related Questions
Correct Answer is C
Explanation
a.Spending equal time with clients regardless of their insurance status: This situation relates more to justice, ensuring fairness and equality in client care, rather than fidelity.
b.This scenario represents the principle of veracity, which involves providing truthful and accurate information to clients. It ensures that clients are fully informed and can give informed consent regarding their treatment.
c.Respecting the decision of clients to refuse to participate in group therapy:Fidelityrefers to the duty to be loyal, faithful, and keep promises. It involves maintaining trust and being reliable in our interactions with clients. This situation aligns with fidelity. Respecting a client's decision to refuse treatment, even if it's something the nurse believes would be beneficial, demonstrates fidelity to the client's autonomy and their right to make choices about their care.
d.This situation reflects the principle of beneficence, which involves taking actions to benefit clients, including continuing education to improve client care and nonmaleficence (avoiding harm).
Correct Answer is C
Explanation
A. Voice alteration: Voice alteration is not a typical adverse effect of electroconvulsive therapy (ECT). ECT primarily affects brain function and is not expected to cause changes in vocal function.
B. Neck pain: Neck pain is a potential adverse effect of ECT, particularly related to the positioning of the client during the procedure or muscle stiffness following the seizure induction. It is important to monitor for and address any discomfort or pain experienced by the client.
C. Memory deficit: Memory deficits, particularly short-term memory loss, are common adverse effects of ECT. These deficits are typically temporary and tend to improve over time following completion of the ECT treatment course.
D. Headache: Headache is a potential adverse effect of ECT, particularly following the seizure induction. It may occur due to the physiological effects of the procedure and typically resolves relatively quickly following the completion of the ECT session.
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