An advanced practice nurse (in a state where the nurse can sign the first certification for an emergency commitment) evaluates a client for emergency commitment because of the likelihood the client will do serious harm to others
The client threatened to kill her mother, who she thinks is "against her." In assessing the need for commitment, what opening would be most facilitative?
1. "Tell me about your delusions."
2. "I understand you have had some difficulty today."
3. "You have threatened your mother. Tell me why."
4. "Because you threatened your mother, you are going to have to go to the hospi-tal."
ANS: 2
Assessment for commitment requires data collection from the client. This opening is the most neutral of the options given and the most open-ended; therefore it will be most likely to elicit a response. 1. The client may not understand the term. 3. Why questions usually elicit rationaliza-tion. 4. This does not seek information.
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