A client was admitted to a psychiatric facility because he was found walking around the street naked and talking incoherently
He has no known next of kin and has been adjudicated incompetent for the first time following a thorough assessment. He refuses any antipsychotic medications but has not been harmful to himself or others. What action should the facility take?
A) Initiate court proceedings to have a guardian named
B) Convince the client of his need for care
C) Continue custodial care
D) Contact social services to find outpatient housing
Ans: A
Feedback:
When a client cannot give informed consent due to mental illness, health care providers must obtain substituted consent for necessary treatments or procedures. Substituted consent is authorization that another person gives on behalf of a client who needs a procedure or treatment but cannot provide such consent independently. Substituted consent can come from a court-appointed guardian or, in some instances, from the client's next of kin. If the client has not previously been adjudicated incompetent and if the law so permits and no next of kin are available to give substituted consent, the health care agency may initiate a court proceeding to appoint a guardian so that treatment professionals can carry out the procedure or treatment. The care team may or may not be able to convince the client that he needs care.
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