A client's psychiatrist informs her that he thinks she needs to ...

[magmichele12]

A client's psychiatrist informs her that he thinks she needs to participate in a 3-month outpatient aftercare program after her discharge. Which of the following would protect the client's right to request a second opinion before agreeing to this suggesti
 
  A) Self-determinism
  B) Least restrictive environment
  C) Confidentiality
  D) Mandates to inform

Question 2

A nurse is explaining advance care directives, or living wills, to a client and the client's spouse. Which of the following would the nurse include in the description?
 
  A) The document tells what treatment is to be omitted if the client is unable to make the decision.
  B) It requires that the client sign the living will document while an attorney is present.
  C) The client's physician must act as a witness when the client signs the document.
  D) An attorney draws up the papers to be given to the client and his or her family.

[bimper21]

Answer to Question 1

Ans: A
The right of self-determination entitles all clients to refuse treatment, to obtain other opinions, and to choose other forms of treatment. It is one of the basic clients' rights established by Title II, Public Law 99-139, outlining the Universal Bill of Rights for Mental Health Patients. Least restrictive environment means that an individual cannot be restricted to an institution when he or she can be successfully treated in the community. Confidentiality is an ethical duty of nondisclosure. Mandate to inform is a term referring to the legal obligation to breach confidentiality when there is a judgment that the client has harmed, or is about to injure, another person.

Answer to Question 2

Ans: A
Advance care directives, or living wills, state what treatment should be omitted or refused if the client is unable to make those decisions. An advance care directive requires two witnesses and notarization but does not require an attorney.