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 A

Explanation

A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.

B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.

C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.

D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.

A. “I am trying to help you, but you haven't told me why you are overwhelmed yet." B. "Have you tried to avoid the situations that are causing you so much stress?" C. “Tell me about what you are doing to reduce or cope with your stress." D. “I would like to help you. Can you tell me more about what you are feeling?"

Correct Answer is D

Explanation

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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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

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Correct Answer is D

Explanation

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

Which situation is an exception to the rule of maintaining patient confidentiality?

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

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

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?