The client states, “I understand that in order to leave, I must sign a request to withdraw from treatment.” What is the client’s legal status?

201

303

302

301

Answer and Explanation

The Correct Answer is A

Choice A reason: A 201 status indicates voluntary admission to a mental health facility, where the client can request discharge by signing a withdrawal form, typically with a 72-hour notice period. This matches the client’s statement, as voluntary patients retain control over their discharge, consistent with mental health laws.

Choice B reason: A 303 status involves extended involuntary commitment for ongoing treatment, typically after a court hearing. It does not allow self-initiated discharge by signing a form, as the client’s statement suggests, making this status incompatible with the described ability to request withdrawal.

Choice C reason: A 302 status is an involuntary commitment for imminent danger, requiring medical or legal approval for discharge, not a simple request form. The client’s ability to sign for withdrawal indicates voluntary status, making 302 incorrect for this scenario.

Choice D reason: A 301 status is not a standard term in mental health commitment laws (e.g., Pennsylvania’s Mental Health Procedures Act). The client’s ability to request discharge aligns with voluntary (201) status, not an undefined or involuntary category, making this option incorrect.

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Correct Answer is B

Explanation

Choice A reason: Hypocalcemia may occur in AKI due to impaired vitamin D activation, but it is not a primary concern in the diuresis phase, where kidneys produce large urine volumes. Calcium imbalances are less immediate than fluid losses, which can rapidly destabilize hemodynamics during this phase.

Choice B reason: In the diuresis phase of AKI, kidneys regain function, producing excessive urine, which can lead to hypovolemia. Fluid loss depletes intravascular volume, causing hypotension, tachycardia, and organ hypoperfusion. Monitoring is critical to prevent dehydration and ensure adequate fluid replacement to maintain hemodynamic stability during recovery.

Choice C reason: Increased blood pressure is more common in the oliguric phase of AKI due to fluid overload. In the diuresis phase, excessive urine output reduces volume, potentially lowering blood pressure. Hypertension is not a typical complication during this phase, making it an incorrect focus for monitoring.

Choice D reason: Hyperkalemia is a concern in the oliguric phase of AKI due to reduced potassium excretion. In the diuresis phase, increased urine output facilitates potassium clearance, reducing hyperkalemia risk. Hypovolemia from excessive fluid loss is a more immediate concern during this phase of AKI recovery.

A. Allow the client to leave with community resources for follow-up care B. Contact the client’s family to request they convince the client to stay C. Initiate a 302 commitment D. Call security and ask them to detain the client

Correct Answer is C

Explanation

Choice A reason: Allowing a client with suicidal comments to leave against medical advice is unsafe, as it risks self-harm without immediate intervention. Providing resources does not address acute suicide risk, which requires inpatient stabilization to ensure safety, making this action inappropriate in the context of expressed suicidal ideation.

Choice B reason: Contacting family to persuade the client to stay does not address immediate suicide risk. While family support may be helpful, it lacks legal authority to prevent discharge and does not ensure safety, making it less effective than initiating a commitment for a client with suicidal intent.

Choice C reason: A 302 involuntary commitment is appropriate for a client expressing suicidal ideation, indicating imminent danger to self. This legal action ensures safety through inpatient evaluation and treatment, preventing self-harm. Mental health laws prioritize protection in such cases, making this the most appropriate nursing action.

Choice D reason: Calling security to detain the client is coercive and lacks legal basis without a formal commitment process. It may escalate agitation and violate autonomy. A 302 commitment is the proper legal mechanism to ensure safety for a suicidal client, making detention by security inappropriate.

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The client states, “I understand that in order to leave, I must sign a request to withdraw from treatment.” What is the client’s legal status?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is C

Explanation

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