Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

“Clients must always have a family member present during treatment to ensure their rights are protected."

"Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others."

"Clients have the right to refuse medication unless a court order mandates it."

"All client interactions must be recorded, even if they are informal and unrelated to their care plan."

Answer and Explanation

The Correct Answer is C

A. “Clients must always have a family member present during treatment to ensure their rights are protected.” Clients have the right to privacy and do not require a family member’s presence for treatment unless legally mandated (e.g., minors).

B. "Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others." Clients can be discharged when they are no longer a risk, even if they disagree, unless under a legal hold.

C. "Clients have the right to refuse medication unless a court order mandates it." Clients have the right to refuse treatment unless a court order requires medication for safety or competency.

D. "All client interactions must be recorded, even if they are informal and unrelated to their care plan." Only relevant, objective, and care-related information should be documented, as excessive documentation can violate privacy.

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Correct Answer is B

Explanation

A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.

B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.

C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.

D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.

A. "If you do not like your medications, would you like to try an alternative?" B. “You feel like you have no remaining options and are struggling to find a solution." C. "Would you like to speak to a therapist after treatment?" D. “You would like more information. I will get that for you right away."

Correct Answer is B

Explanation

A. "If you do not like your medications, would you like to try an alternative?" This response shifts focus away from the client's emotional state and does not validate their feelings.

B. "You feel like you have no remaining options and are struggling to find a solution." This response uses therapeutic communication by reflecting the client’s emotions, validating their feelings, and encouraging further discussion.

C. "Would you like to speak to a therapist after treatment?" While therapy may be beneficial, this response does not acknowledge the client's feelings in the present moment.

D. "You would like more information. I will get that for you right away." This response assumes the client is seeking information rather than expressing distress.

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Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the definition of patient autonomy?

Correct Answer is B

Explanation

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?