A client approaches the unit charge nurse and states he wants to ...

[lunatika]

A client approaches the unit charge nurse and states he wants to talk to the mental health advocate
  immediately about getting released. The unit has no pay phone and agency policy does not permit
  clients to enter the nurses' station.
 
  The nurse should
  a. tell the client to secure a physician's order to leave the unit to make the call.
  b. give the client a pen and paper and ask him to write the advocate.
  c. document the request in the client's medical record.
  d. call the advocate and convey the client's request.

Question 2

A client displaying acute mania has driven staff to the end of their tolerance by noon. The client has
  joked, manipulated, insulted, and fought his way through the morning. Staff are feeling defensive
  and exhausted.
 
  The best action to take is to
  a. call the physician to come to the unit to evaluate the client and write a seclusion
  order.
  b. seclude the client, then call the physician to come to the unit to write a seclusion
  order.
  c. hold a staff meeting to discuss staff consistency and limit-setting approaches.
  d. explain to the client that his behavior is unacceptable and seek his cooperation.

[Jody Vaughn]

Answer to Question 1

ANS: D
The client has a constitutional right to freedom of speech. This includes the right to speak by
telephone to outside parties such as a mental health advocate or lawyer. Immediately conveying the
request for the client would be an acceptable action when a unit does not have a phone that can be
used by clients. A cell phone would be another acceptable alternative. Option A poses a delay if the
physician is not immediately available. Option B: The mail poses a lengthy delay. Option C:
Documenting the request without acting on it is insufficient.

Answer to Question 2

C
When staff members are at their wits' end, the client has succeeded in keeping the environment
unsettled and avoided outside controls on behavior. Staff meetings can help minimize staff splitting
and feelings of anger, helplessness, confusion, and frustration.

[lunatika]

Correct answers!

[Jody Vaughn]

Great! Please up vote