A psychiatricmental health nurse is documenting information in a ...

[itsmyluck]

A psychiatricmental health nurse is documenting information in a client's medical record. Which of the following would be least likely to increase the nurse's legal liability?
 
  A) Client reported that he was feeling better today than yesterday.
  B) Administered haloperidol 10 mg IM stat as ordered for agitation.
  C) Client was talking with another staff member and started screaming.
  D) Applied restraints to all four client extremities.

Question 2

A client is involuntarily committed without a court order. The nurse understands that the emergency, short-term hospitalization can occur for how long?
 
  A) A maximum of 24 hours
  B) 48 to 92 hours
  C) 3 to 5 days
  D) 1 week

[Sassygurl126]

Answer to Question 1

Ans: B
The entry about medication administration is the most complete and clear because it states the name of the medication, the dosage and route, and why it was administered. The nurse would then be responsible for following up this documentation with information about how the client responded to the medication. The statement about the client feeling better, and the statement about talking with a staff member and screaming, are both vague and general. The statement about applying restraints is incomplete. The statement needs to include information about why the restraints were applied, that an order was obtained for the restraints, and how the client responded to the restraints.

Answer to Question 2

Ans: B
Although commitment procedures vary among states, most have provisions for an emergency, short-term hospitalization of 48 to 92 hours authorized by a certified mental health provider without a court order. At the end of that period, the individual must either agree to voluntary treatment or extended commitment procedures are initiated.

[itsmyluck]

Correct answers!

[Sassygurl126]

Great! Please up vote