Which is an accepted criterion for inpatient admission to a mental health facility?

The client likes the security and comfort of the mental health facility

The client feels that he is no longer able to cope with life stressors or maintain control of his behavior

The client suffers from depression.

A client's behavior becomes unusual

Answer and Explanation

The Correct Answer is B

Choice A rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice B rationale: this is one of the criteria for inpatient admission to a mental health facility since with the inability to cope with life stressors or control his behaviors the patient is at risk of harming either themselves or others. Moreover, this criterion reflects the principle of beneficence, meaning that the best is being done for the client's well-being and safety.
Choice C rationale: this is incorrect since depression is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.
Choice D rationale: this is incorrect since it is not sufficient by itself to warrant an inpatient admission hence the client can be managed as an outpatient.

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Correct Answer is A

Explanation

Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.

A. 2-4 weeks B. 1-2 weeks C. 3-4 days D. 1-2 days

Correct Answer is A

Explanation

Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.

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Which is an accepted criterion for inpatient admission to a mental health facility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When communicating with an angry patient; the nurse must first:

Correct Answer is A

Explanation

During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:

Correct Answer is A

Explanation

A female client tells the care provider that she feels very angry about her recent divorce. Which is the care provider's best response?

During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client

Showing empathy toward a client is an effective tool in establishing rapport. Which statement is the best example of an empathetic response?

Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?

In the Working phase of the nurse-client relationship, the client and nurse work toward the goals that are agreed upon. (True or False)

In the psychiatric unit bright colors in the environment of the client are often:

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are the purposes of the treatment plan? (Select all that apply.)