Hospitalization for persons with mental illness is generally reserved for clients who demonstrate which characteristic?
Are noncompliant with medication at home.
Present a clear danger to self or others.
Have limited support systems in the community.
Develop new symptoms during the course of an illness.
The Correct Answer is B
Choice A rationale
Noncompliance with medication at home, while a concern, does not necessarily warrant hospitalization on its own unless it leads to a clear and present danger to self or others. The standard of care often involves less restrictive interventions, such as outpatient care, medication management support, or case management, to address noncompliance before resorting to inpatient treatment.
Choice B rationale
Hospitalization for mental illness is generally reserved for clients who pose a clear and present danger to themselves or others. This is due to the principle of least restrictive environment, which mandates that individuals be treated in the least restrictive setting possible. When an individual's behavior escalates to the point of imminent harm, inpatient care is necessary to ensure safety.
Choice C rationale
Limited support systems in the community can increase the risk of relapse and poor outcomes, but it is not a primary criterion for psychiatric hospitalization. Community-based services, such as assertive community treatment (ACT) teams, case managers, or partial hospitalization programs, are typically employed to address inadequate support without the need for inpatient admission.
Choice D rationale
The development of new symptoms during the course of an illness, unless they signify an immediate risk of harm, is usually managed in an outpatient setting. A healthcare provider would likely adjust the treatment plan, such as changing medication or therapy, and monitor the client's response. Hospitalization is not the initial or default response for symptom fluctuation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Mild anxiety is a normal, everyday type of stress that helps individuals stay alert and focused. It is characterized by slight restlessness and increased sensory awareness, and it can motivate problem-solving. However, the reported difficulty of immigration suggests a more significant level of stress than mild anxiety, which is typically a temporary response to a minor challenge.
Choice B rationale
Generalized anxiety is a chronic, persistent state of worry and tension that is not tied to a specific trigger. It involves physical symptoms like fatigue and muscle tension, and it can last for months or years. The stress described here is directly linked to the specific, significant life event of immigration, which is not consistent with the pervasive nature of generalized anxiety.
Choice C rationale
Distress is a negative, debilitating type of stress that can lead to physical and psychological harm. It is often caused by difficult life events, such as immigration, which involves major changes and potential trauma. The family member's statement, "The immigration to America has been very difficult," directly indicates a negative and challenging experience, which is the definition of distress.
Choice D rationale
Eustress is a positive type of stress that can motivate and energize an individual. It is often associated with positive life events, like a promotion or a new relationship, and can lead to growth and increased performance. The family member's description of immigration as "very difficult" signifies a negative experience, which is the opposite of eustress.
Correct Answer is D
Explanation
Choice A rationale
This choice encourages a fantasy of a completely different, healthier body, which is not a realistic or effective goal for guided imagery. Guided imagery is most effective when it focuses on achievable, positive sensations and outcomes within the client's current reality. Visualizing an unattainable state can lead to feelings of frustration and failure when the reality of their emphysema and its limitations returns.
Choice B rationale
Surfing is a physically demanding activity that requires significant respiratory effort. Encouraging this visualization could create anxiety and distress for a client with severe emphysema, as it directly contrasts with their physical limitations. The goal of guided imagery is to promote relaxation and a sense of control, not to visualize activities that would exacerbate their shortness of breath and fear.
Choice C rationale
This option promotes an unrealistic goal for a client who requires portable oxygen. Imagining performing activities without supplemental oxygen can be counterproductive, creating a sense of failure and increasing anxiety when the reality of their condition necessitates its use. The purpose of guided imagery is to help the client cope with their current condition, not to deny or ignore it.
Choice D rationale
This is the most appropriate image because it focuses on a realistic, positive, and achievable goal. It encourages the client to visualize the desired emotional and physiological state—feeling relaxed and taking deep, controlled breaths—during a specific, potentially anxiety-provoking situation (leaving home). This type of imagery helps the client learn to manage their fear and physiological responses, empowering them to cope with their condition more effectively.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.