PSYCHIATRIC MENTAL HEALTH NURSING: SAUNDERS
NCLEX REVIEW QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM WITH
CORRECT VERIFIED ANSWERS BEST RATED A+ FOR
SUCCESS
On review of the client's record, the nurse notes that the admission was
voluntary. Based on this information, the nurse plans care anticipating which
client behavior?
1. Fearfulness regarding treatment measures
2. Anger and aggressiveness directed toward others
3. An understanding of the pathology and symptoms of the diagnosis
4. A willingness to participate in the planning of the care and treatment plan -
CORRECT ANSWERS 4
Rationale: In general, clients seek voluntary admission. If a cli- ent seeks voluntary
admission, the most likely expectation is that the client will participate in the
treatment program since he or she is actively seeking help. The remaining options
are not characteristics of this type of admission. Fearfulness, anger, and
aggressiveness are more characteristic of an involuntary admission. Voluntary
admission does not guarantee that a cli- ent understands his or her illness, only
the client's desire for help.
A client admitted voluntarily for treatment of an anxiety disorder demands to be
released from the hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
, PSYCHIATRIC MENTAL HEALTH NURSING: SAUNDERS
NCLEX REVIEW QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM WITH
CORRECT VERIFIED ANSWERS BEST RATED A+ FOR
SUCCESS
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. -
CORRECT ANSWERS 1
Rationale: In general, clients seek voluntary admission. Volun- tary clients have
the right to demand and obtain release. The nurse needs to be familiar with the
state and facility policies and procedures. The initial nursing action is to contact
the HCP, who has the authority to discuss discharge with the client. While
arranging for safe transportation is appropriate, it is pre- maturein thissituation
and should bedoneonlywith theclient's
permission.Whileitisappropriatetodiscusswhytheclientfeels the need to leave and
the possible outcomes of leaving against medical advice, attempting to get the
client to agree to staying "for only a few more days" has little value and will not
likely be successful. Many states require that the client submit a written release
notice to the facility psychiatrist, who reevaluates the cli- ent's condition for
possible conversion to involuntary status if necessary, according to criteria
established by law. While this is a possibility, it should not be used as a threat
with the client.
When reviewing the admission assessment, the nurse notes that a client was
admitted to the mental health unit involuntarily. Based on this type of admission,
the nurse should provide which inter- vention for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
NCLEX REVIEW QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM WITH
CORRECT VERIFIED ANSWERS BEST RATED A+ FOR
SUCCESS
On review of the client's record, the nurse notes that the admission was
voluntary. Based on this information, the nurse plans care anticipating which
client behavior?
1. Fearfulness regarding treatment measures
2. Anger and aggressiveness directed toward others
3. An understanding of the pathology and symptoms of the diagnosis
4. A willingness to participate in the planning of the care and treatment plan -
CORRECT ANSWERS 4
Rationale: In general, clients seek voluntary admission. If a cli- ent seeks voluntary
admission, the most likely expectation is that the client will participate in the
treatment program since he or she is actively seeking help. The remaining options
are not characteristics of this type of admission. Fearfulness, anger, and
aggressiveness are more characteristic of an involuntary admission. Voluntary
admission does not guarantee that a cli- ent understands his or her illness, only
the client's desire for help.
A client admitted voluntarily for treatment of an anxiety disorder demands to be
released from the hospital. Which action should the nurse take initially?
1. Contact the client's health care provider (HCP).
2. Call the client's family to arrange for transportation.
, PSYCHIATRIC MENTAL HEALTH NURSING: SAUNDERS
NCLEX REVIEW QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM WITH
CORRECT VERIFIED ANSWERS BEST RATED A+ FOR
SUCCESS
3. Attempt to persuade the client to stay "for only a few more days."
4. Tell the client that leaving would likely result in an involuntary commitment. -
CORRECT ANSWERS 1
Rationale: In general, clients seek voluntary admission. Volun- tary clients have
the right to demand and obtain release. The nurse needs to be familiar with the
state and facility policies and procedures. The initial nursing action is to contact
the HCP, who has the authority to discuss discharge with the client. While
arranging for safe transportation is appropriate, it is pre- maturein thissituation
and should bedoneonlywith theclient's
permission.Whileitisappropriatetodiscusswhytheclientfeels the need to leave and
the possible outcomes of leaving against medical advice, attempting to get the
client to agree to staying "for only a few more days" has little value and will not
likely be successful. Many states require that the client submit a written release
notice to the facility psychiatrist, who reevaluates the cli- ent's condition for
possible conversion to involuntary status if necessary, according to criteria
established by law. While this is a possibility, it should not be used as a threat
with the client.
When reviewing the admission assessment, the nurse notes that a client was
admitted to the mental health unit involuntarily. Based on this type of admission,
the nurse should provide which inter- vention for this client?
1. Monitor closely for harm to self or others.
2. Assist in completing an application for admission.
