Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:
a. resumes using heroin while still taking methadone.
b. reports hearing angels playing harps during thunderstorms.
c. throws a heavy plate at a waiter at the direction of command hallucinations.
d. does not show up for an outpatient appointment with the mental health nurse.
ANS: C
Throwing a heavy plate is likely to harm the waiter and is evidence of being dangerous to others. This behavior meets the criteria for emergency or involuntary hospitalization for mental illness. The behaviors in the other options evidence mental illness but not dangerousness.
You might also like to view...
Sulfonamides are commonly used to treat which of the following types of infections? Select all that apply
A) Ulcerative colitis B) Urinary tract infection C) Acute otitis media D) Upper respiratory tract infection E) Osteomyelitis
A client is admitted to the in-patient unit in the withdrawn phase of catatonic schizophrenia. He is
completely stuporous. While giving care to the client, the nurse must a. explain care activities in simple, explicit terms as though expecting a response. b. maintain a quiet, nonstimulating atmosphere, speaking as little as possible to the client. c. provide high levels of sensory stimulation by using conversation, the radio, and television. d. address negativism by asking the client to do exactly the opposite of what is desired.
A patient on long-term corticosteroid therapy is diagnosed with osteoporosis. The corticosteroids are discontinued, but the patient remains concerned about her osteoporosis and long-term prognosis
Which of the following statements is the nurse's best response to the patient's concerns regarding the corticosteroid therapy's effect on her osteoporosis? A) "Now that the corticosteroids have been stopped, you will regain the lost bone mass in about 2 months." B) "Discontinuing the corticosteroids will halt the progression of osteoporosis, but restoration of the lost bone mass usually does not occur." C) "Studies indicate that after stopping steroid therapy you will continue to lose bone mass for approximately 12 to 18 months, but the physician will prescribe a medication to strengthen your bones during this period of time." D) "With the intake of adequate calcium and vitamin D, you will see a rapid restoration of lost bone mass over the next 3 to 6 months."
A 56-year-old man is hospitalized because of poorly controlled diabetes and a leg ulcer that developed as a complication of diabetes. He is awake, alert, and oriented but fatigued and in need of wound care
In the hospital, he was placed on insulin and started on a variety of oral medications. He is learning how to check his blood sugar and administer insulin. He has never given himself insulin and he does not understand how to interpret his blood sugar readings. The physician has prescribed discharge from the hospital with home health follow-up. Is this an appropriate referral? a. Yes; the patient is in need of skilled services and, therefore, eligible for home care services. b. Yes; the patient has been unable to control his diabetes, is noncompliant, and needs to be monitored. c. No; the patient should remain hospitalized; he has too many needs for home care services. d. No; the patient is relatively young and oriented; he should be able to provide his own care.