An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response?
Select one:

"l will get them for you. but let's talk about your decision to leave treatment."

'Since you signed your consent for treatment, you may leave if you desire, it is ok."

“l can’t give you those forms without your health care provider's knowledge."

"I'll get the forms for you right now and bring them to your room."

Answer and Explanation

The Correct Answer is A

This response acknowledges the client's request for the forms while also addressing the need to discuss the client's decision to leave treatment. It provides an opportunity for the nurse to explore the client's reasons for wanting to leave, discuss the potential consequences of leaving against medical advice, and address any concerns or fears the client may have about continuing treatment.

Option b is not appropriate because it does not address the potential risks associated with leaving treatment against medical advice.

Option c is also not appropriate because it does not acknowledge the client's request and is potentially misleading.

Option d is not appropriate because it does not address the client's reasons for wanting to leave or the potential consequences of leaving against medical advice.

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Correct Answer is C

Explanation

False imprisonment is the unlawful restraint of a person against their will. In this situation, the nurse’s actions of placing the client in seclusion overnight because the unit is short-staﬀed and the client frequently fights with other clients may be considered false imprisonment if the client did not consent to being placed in seclusion and if there were no legal grounds for doing so.

Option a. Invasion of privacy refers to the violation of a person’s right to privacy.

Option b. Battery refers to the intentional and harmful or oﬀensive touching of another person without their consent.

Option d. Assault refers to the intentional act of causing another person to fear immediate harm or oﬀensive contact.

A. Non-maleficence B. Beneficence C. Justice D. Autonomy

Correct Answer is D

Explanation

Autonomy is the ethical principle that upholds an individual's right to self-determination and decision- making regarding their own life and treatment. In this case, the unit manager's policy of allowing clients to make their own choice about whether or not to attend group therapy preserves the principle of autonomy.

By not mandating group therapy, the unit manager respects the clients' right to make decisions about their own treatment and encourages them to participate in a way that feels comfortable and aligned with their own goals and values. This promotes a sense of empowerment and self-efficacy in clients, which is important for their overall recovery and well-being.

While beneficence, non-maleficence, and justice are also important ethical principles in healthcare, they are not directly applicable to this particular situation.

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An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is very short-staﬀed, and the client frequently fights with other clients. the nurse's actions are an example of which of the following torts?

Correct Answer is C

Explanation

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

Correct Answer is D

Explanation

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An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response?
Select one: