Author Question: A 15-year-old female is brought by her mother to see an advanced practice psychiatric mental health ... (Read 278 times)

michelleunicorn · **on:** Jul 19, 2018

A 15-year-old female is brought by her mother to see an advanced practice psychiatric mental health nurse. The mother demands that her daughter be admitted for treatment of behavior problems.

The mother says her daughter stays out until 4 a.m. and is hanging out with bad kids. The nurse should recommend:
1. Involuntary commitment
2. That the mother begin therapy
3. That the mother and daughter agree to outpatient therapy
4. That the mother take the daughter for emergency admission

Question 2

A client with paranoid thinking has refused his morning dose of fluphenazine (Prolixin). Another client says, You better take your medicine, or else they will throw you into the seclusion room and take away all your clothes.

Other clients murmur apprehensively. The nurse decides that the clients need information. Which of the following items should be addressed first?
1. Right to treatment
2. Purposes of seclusion
3. Commitment procedures
4. Advice on how to get discharged from the hospital

gcook · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
Based on the client's right to use of the least restrictive treatment alternative, the choice is clear that outpatient treatment would be most appropriate. Admission (options 1 and 4) is reserved for those who are a danger to self or others.

Answer to Question 2

ANS: 2
Since the use of seclusion has been mentioned in an inappropriate context and clients seem con-cerned, the nurse should make this the priority issue to address. The other options are of lesser relevance.