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Category - Partnership

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A 25-year-old female was admitted to a facility for the treatment of substance abuse. The admission was ordered by the court after the client attempted to harm her daughter and planned a (second) suicide attempt. A central part of the treatment program is to complete a series of group meetings. On the fifth day of the treatment, the client tells the nurse, “You cannot make me go to this group thing today. I am not going. I am getting out of here.” Which of the following is the most appropriate response made by the nurse?
  1. “I understand, but I would like to inform you that you may choose not to attend 10% of treatment activities without any consequences.”
  2. “You are required to stay in the facility; however, you have the right to informed consent in regard to group treatment participation.”
  3. “You have the right to leave the facility any time you want; however, you need to sign a form stating that you are leaving the facility against medical advice.”
  4. “You are required by law to attend the meetings. You need to attend the meeting as scheduled.”
Explanation
Answer: B - The correct answer is: “You are required to stay in the facility; however, you have the right to informed consent in regard to group treatment participation.”Although the client was involuntarily admitted to the facility, she has the right to informed choice. A mentally ill client has the right to accept treatment or refuse treatment. She also has the right to privacy, and confidentiality.
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