Author Question: A client receives a court order for commitment. Which of the following best exemplifies the concept ... (Read 23 times)

piesebel · **on:** Jul 19, 2018

A client receives a court order for commitment. Which of the following best exemplifies the concept of least restrictive environment?

A) Involuntary commitment to an outpatient community mental health center
B) Medication administration for sedation so the client cannot get out of bed
C) Placing the client in a locked, padded room in response to threats of self-harm
D) Allowing the client to make the decision about whether treatment is necessary

Question 2

A psychiatricmental health nurse determines that a client is competent when he is able to do which of the following?

A) Speak coherent English
B) Communicate his or her choices
C) Write a living will
D) Comply with the medical regimen

bookworm410 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
An example of the concept of least restrictive environment is the involuntary commitment of a client to an outpatient mental health center. Medications cannot be given unnecessarily, such as to keep a client in bed. An individual cannot be restrained or locked in a room unless all other less restrictive interventions are attempted first. Allowing the client to make decisions about treatment reflects his or her right for self-determination.

Answer to Question 2

Ans: B
A client who is competent to give informed consent should be able to communicate choices, understand relevant information, appreciate the situation and its consequences, and use a logical thought process to compare the risks and benefits of treatment.