Which statement should a nurse identify as correct regarding a ...

[beccaep]

Which statement should a nurse identify as correct regarding a client's right to refuse treatment?
 
  1. Clients can refuse pharmacological but not psychological treatment.
  2. Clients can refuse any treatment at any time.
  3. Clients can refuse only electroconvulsive therapy (ECT).
  4. Professionals can override treatment refusal by an actively suicidal or homicidal client.

Question 2

An involuntarily committed client is verbally abusive to the staff, repeatedly threatening to sue. The client records the full names and phone numbers of the staff. Which nursing action is most appropriate to decrease the possibility of a lawsuit?
 
  1. Verbally redirect the client, and then refuse one-on-one interaction.
  2. Involve the hospital's security division as soon as possible.
  3. Notify the client that documenting personal staff information is against hospital policy.
  4. Continue professional attempts to establish a positive working relationship with the client.

[Eunice618]

Answer to Question 1

4
Rationale: The nurse should understand that health-care professionals could override treatment refusal when a client is actively suicidal or homicidal. A suicidal or homicidal client who refuses treatment may be in danger or a danger to others. This situation should be treated as an emergency, and treatment may be performed without informed consent.

Answer to Question 2

4
Rationale: The most appropriate nursing action is to continue professional attempts to establish a positive working relationship with the client. The involuntarily committed client should be respected and has the right to assert grievances if rights are infringed.