Weekly "NCLEX-Style" Question

Question of the week for 5.25.20

The psychiatric nurse is caring for a client who was voluntarily admitted to the hospital 2 days ago for suicidal ideation. Today, the client states, "I demand to be released now!" Which response by the nurse is most appropriate?

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Correct!

Please visit again next Monday for another question taken directly from our online course for the NCLEX-RN® examination.

Incorrect!
The correct answer is: "Let's discuss your decision to leave and then we can prepare you for discharge."

Clients who are voluntarily admitted to the hospital have the right to demand and obtain release. Ideally clients should be given discharge instructions before they leave the hospital. However, clients have the right to sign themselves out of the hospital at any time, including against medical advice (AMA). The most appropriate response would be to engage the client in therapeutic communication and find out their current state of mind and risk for suicide. If the nurse felt that the client still represented a risk for suicide, a petition for an involuntary admission/hospitalization should be initiated. The other responses are not therapeutic or appropriate.

Please visit again next Monday for another question taken directly from our online course for the NCLEX-RN® examination.

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