What legal case determined that patients have a right to refuse treatments and the right to use an appeal process?
Durham v. U.S.
O'Connor v. Donaldson
Rennie v. Klein
Dusky v. U.S.
The Correct Answer is C
Choice A reason: Durham v. U.S. established the “Durham Rule” for criminal responsibility related to mental illness, not patient treatment rights.
Choice B reason: O’Connor v. Donaldson addressed involuntary hospitalization and the right to liberty, but not specifically the right to refuse treatment or appeal.
Choice C reason: Rennie v. Klein established that patients have the legal right to refuse treatment and to appeal treatment decisions, directly addressing patient autonomy and informed consent.
Choice D reason: Dusky v. U.S. established competency to stand trial standards in criminal proceedings, not treatment refusal rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Attention deficit hyperactivity disorder (ADHD) is characterized by persistent patterns of inattention, hyperactivity, and impulsivity that are present across multiple settings and have existed since childhood. This patient’s symptoms are acute and situational, triggered by a recent stressor (grandfather’s illness), which makes ADHD less likely as the primary diagnosis.
Choice B reason: Adjustment disorder with mixed anxiety and mood is a stress-response syndrome that arises within three months of an identifiable stressor. The patient’s concentration problems, sadness, decreased energy, restlessness, and sleep difficulties are all temporally linked to the stressor of caring for a sick grandparent. This diagnosis fits the acute onset of emotional and behavioral changes in response to a significant life event.
Choice C reason: Separation anxiety disorder involves excessive fear or anxiety concerning separation from attachment figures. While the patient has concern for his grandfather, his anxiety is not rooted in separation from a primary attachment figure but rather in worry about the grandfather’s illness and responsibilities at home.
Choice D reason: Generalized anxiety disorder is characterized by excessive, uncontrollable worry about multiple areas of life for at least six months. The patient’s anxiety is specific to a recent stressor rather than pervasive across multiple domains, making GAD less likely.
Correct Answer is C
Explanation
Choice A reason: While question 2 on the MDQ asks if the symptoms occurred during the same time period, the score of 7 already indicates a threshold number of symptoms for potential bipolar disorder, so it alone can trigger further evaluation.
Choice B reason: The functional impact question helps determine severity, but scoring 7 symptoms suggests the presence of significant mood symptoms regardless of perceived impact, warranting evaluation.
Choice C reason: A score of 7 meets the screening threshold for possible bipolar disorder. This indicates that the patient should undergo a more thorough clinical evaluation to confirm or rule out the diagnosis.
Choice D reason: The score itself is sufficient to suggest the need for further evaluation, so it is incorrect to state that the score does not warrant follow-up.
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