Boost Skills: NCLEX Daily Questions #22

November 22, 2024

Friday

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The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior. Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit? Select all that apply.

 

 

Client repeatedly mumbles, "I must kill them before they get me"

Client has been sleeping on the floor in the den rather than the bed

Marijuana was found in the client's personal belongings

Client has refused food and water for 4 days and has poor skin turgor

The health care provider makes a diagnosis of schizophrenia

Check

Clients have the right to refuse hospital admission and treatment. However, all states and provinces have laws and procedures for involuntary admission that require clients to receive inpatient treatment for a psychiatric disorder against their will. The legal criteria for involuntary admission include: The individual appears to be an imminent danger to self or others (Option 3) The individual has a grave disability (ie, is unable to adequately care for basic needs [food, clothing, shelter, medical care, personal safety)) as a result of a mental illness (Option 2).

Clients also have the right to the least restrictive environment in which treatment can be provided in a safe manner. Involuntary commitment is generally used as a last resort in dealing with a client whose illness is so severe that judgment and insight in deciding to refuse treatment are markedly impaired.

(Option 1) Sleeping on the floor may be outside the client's normal behavior but does not meet the criteria for involuntary admission.

(Option 4) Possession of marijuana does not meet the criteria for involuntary admission.

(Option 5) The diagnosis of a mental illness alone does not justify the need for involuntary commitment.

Educational objective: Clients with a mental illness have the right to refuse treatment, including inpatient hospitalization. Clients can be involuntarily admitted for psychiatric treatment if they pose an imminent danger to themselves or others or if they are gravely disabled and unable to meet their own basic needs.

Clients have the right to refuse hospital admission and treatment. However, all states and provinces have laws and procedures for involuntary admission that require clients to receive inpatient treatment for a psychiatric disorder against their will. The legal criteria for involuntary admission include: The individual appears to be an imminent danger to self or others (Option 3) The individual has a grave disability (ie, is unable to adequately care for basic needs [food, clothing, shelter, medical care, personal safety)) as a result of a mental illness (Option 2).

Clients also have the right to the least restrictive environment in which treatment can be provided in a safe manner. Involuntary commitment is generally used as a last resort in dealing with a client whose illness is so severe that judgment and insight in deciding to refuse treatment are markedly impaired.

(Option 1) Sleeping on the floor may be outside the client's normal behavior but does not meet the criteria for involuntary admission.

(Option 4) Possession of marijuana does not meet the criteria for involuntary admission.

(Option 5) The diagnosis of a mental illness alone does not justify the need for involuntary commitment.

Educational objective: Clients with a mental illness have the right to refuse treatment, including inpatient hospitalization. Clients can be involuntarily admitted for psychiatric treatment if they pose an imminent danger to themselves or others or if they are gravely disabled and unable to meet their own basic needs.

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Boost Skills: NCLEX Daily Questions #22

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