The nurse is providing care for a client who has been involuntarily admitted for psychiatric treatment.
What information about involuntary commitment should the nurse share with the client’s family?
The client’s behavior has been deemed irrational by a psychiatrist.
The client poses a threat to self or others.
The client is unable to manage daily life affairs.
The client has been accused of a legal offense.
The Correct Answer is B
Choice B rationale:
Involuntary commitment typically occurs when a person's mental illness makes them a danger to themselves or others. It is essential for the nurse to communicate this crucial information to the client's family to help them understand the necessity of treatment.
Choice A rationale:
While a psychiatrist may be involved in the decision to commit a client involuntarily, simply stating that the client's behavior is irrational does not provide sufficient information about the reasons for commitment (no reference).
Choice C rationale:
The inability to manage daily life affairs may be a factor in considering involuntary commitment, but it is not the primary reason for such a decision (no reference).
Choice D rationale:
Accusation of a legal offense is not directly related to involuntary commitment for psychiatric treatment, which focuses on the client's mental health and potential risk to self or others (no reference).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 9 months is not specified in the diagnostic criteria.
Choice B rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. This aligns with the description provided in Choice B34.
Choice C rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 3 months is not specified in the diagnostic criteria.
Choice D rationale
The diagnostic criteria for ADHD require a disturbance lasting at least 6 months with at least eight relevant findings. A disturbance lasting at least 12 months is not specified in the diagnostic criteria.
Correct Answer is A
Explanation
Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.
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