Author Question: A male client with a history of depression and suicide attempts has established a psychiatric ... (Read 66 times)

go.lag

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A male client with a history of depression and suicide attempts has established a psychiatric advanced directive specifying that he does not wish to be treated with psychotropic medications.
 
  The client has been admitted to the hospital following a suicide attempt and has been deemed an acute risk to his own safety. How will the individual's advanced directive affect his plan of care?
  A) The client will be treated with all appropriate interventions with the exception of medications.
  B) The client will be administered medications if they are determined to be essential to his care.
  C) The client will need to waive his advanced directive if he is to be successfully treated.
  D) The client will be administered medications without his knowledge.

Question 2

The legal system orders a client with antisocial personality disorder into treatment. He has a history of spousal abuse and multiple arrests and convictions for drug trafficking.
 
  Based on the history, the nurse decides to perform a quick assessment and give him information about the anger management classes he is mandated to attend. The nurse's brief visit and superficial intervention are which of the following?
  A) Appropriate, because clients with antisocial personality disorder resist treatment
  B) Appropriate, because the client is not in treatment willingly
  C) Inappropriate, because all people have the potential to change and grow
  D) Inappropriate, because the nurse did not address the client's history of drug abuse



heyhey123

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Answer to Question 1

Ans: B
Feedback:
Advanced directives are not meant to supersede care necessary to protect client safety. As such, the client may be treated with medications despite his advanced directive. Administering medications without the client's knowledge is never a preferred approach.

Answer to Question 2

Ans: C
Feedback:
Psychiatricmental health nursing is built on certain principles or beliefs about people and the care they deserve: Every person is worthy of dignity and respect; every person has the potential to change and grow; all people share basic human needs; all behavior is meaningful and can be understood from the person's perspective; people have the right to participate in decisions affecting their health and treatment; and through the therapeutic use of self, via therapeutic relationships and communication, nurses help people adapt, change, and grow.



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