A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Keep the client hospitalized until there is no longer a threat.

Ensure the client's ex-partner is notified of the threat.

Ask a friend or family member to monitor the client.

Transfer the client to a mental health facility.

Answer and Explanation

The Correct Answer is B

A reason: Keep the client hospitalized until there is no longer a threat. The nurse does not have the authority to independently keep the client hospitalized based on the threat. This decision involves a multidisciplinary approach and, if necessary, legal intervention.

B reason: Ensure the client's ex-partner is notified of the threat. The nurse has a legal and ethical duty to warn individuals who are at risk of harm. Ensuring the ex-partner is notified of the threat is an essential step to protect them from potential danger.

C reason: Ask a friend or family member to monitor the client. While involving friends or family in the client's care is important, it is not the primary legal duty in this situation. Professional intervention and appropriate authorities should be notified.

D reason: Transfer the client to a mental health facility. Transferring the client to a mental health facility may be necessary for their safety and well-being, but the immediate legal duty is to ensure the threatened individual is informed and protected.

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Correct Answer is B

Explanation

A reason: Midazolam. Midazolam is a benzodiazepine used for sedation, anxiety relief, and seizure management. It is not typically used as a first-line treatment for major depressive disorder.

B reason: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. It helps increase serotonin levels in the brain, which can improve mood and alleviate depressive symptoms.

C reason: Cyclobenzaprine. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

D reason: Valproic acid. Valproic acid is a mood stabilizer primarily used to treat bipolar disorder and seizure disorders. It is not typically used as a first-line treatment for major depressive disorder.

A. "These clients can receive packages after they are privately inspected by security." B. "These clients cannot be considered for a research study." C. "These clients can vote in local and federal elections." D. "These clients cannot refuse their prescribed antipsychotic medications."

Correct Answer is C

Explanation

A reason: "These clients can receive packages after they are privately inspected by security." While security measures might be in place for the safety of all clients, it does not address a fundamental right of involuntarily admitted clients.

B reason: "These clients cannot be considered for a research study." Involuntarily admitted clients can be considered for research studies, but participation must be voluntary, and informed consent is required.

C reason: "These clients can vote in local and federal elections." Clients who are involuntarily admitted retain their civil rights, including the right to vote in local and federal elections. This statement accurately reflects their rights.

D reason: "These clients cannot refuse their prescribed antipsychotic medications." Involuntarily admitted clients retain the right to refuse medication, except in specific situations where they are deemed a danger to themselves or others, and legal protocols are followed.

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A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

Correct Answer is B

Explanation

A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

Correct Answer is C

Explanation

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