A nurse is working with a client who will be signing a commitment to treatment statement. After teaching the client about this statement, the nurse determines the need for additional instruction when the client states which of the following?
A) "Signing this statement means that I will not commit suicide."
B) "I am agreeing to get emergency treatment if I have suicidal thoughts."
C) "I will be open and honest about my feelings about treatment."
D) "I am agreeing to participate in the necessary treatment for my condition."
Ans: A
Clients are usually ambivalent about wanting to die. The Commitment to Treatment Statement (CTS) directly addresses ambivalence about treatment by asking the client to make a commitment to treatment. Different from the no-suicide contract, the CTS does not restrict the client's rights regarding the option of suicide. Instead, the client agrees to engage in treatment and access emergency service if needed. Underlying the CTS is the expectation that the client will communicate openly and honestly about all aspects of treatment, including suicide. This commitment is written and signed by the client.
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