The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?

Correct Answer: D

Rationale: Step 1: The nurse's priority is to address the client's mental health and behavioral issues to provide appropriate treatment and support. Step 2: Focusing on mental health and behavior helps establish a therapeutic relationship and assess the client's immediate needs. Step 3: Discussing specific crimes may trigger distress or legal concerns, hindering the therapeutic process. Step 4: Avoiding detailed discussions of crimes maintains client confidentiality and respects their dignity. Summary: Option D is correct because it prioritizes mental health assessment over discussing specific crimes, ensuring a client-centered approach and fostering a safe therapeutic environment. Choices A, B, and C are incorrect as they prioritize irrelevant or potentially harmful information over the client's well-being.

Correct Answer: B

Rationale: The correct answer is B because mental health programs aim to provide safe, structured, and supportive care for individuals with mental health symptoms who can benefit from frequent treatment monitoring. This goal emphasizes the importance of creating a therapeutic environment that offers necessary interventions and support to help individuals manage their symptoms and improve their well-being. Choice A is incorrect because the goal is not solely about transitioning individuals to complete independence quickly, but rather about providing ongoing support and care. Choice C is incorrect as mental health programs are not intended to serve as permanent homes, but rather as treatment settings aimed at improving individuals' mental health. Choice D is incorrect because while close monitoring may be necessary for some clients, it is not the sole goal of mental health programs, which also focus on providing support and treatment interventions.

Correct Answer: B

Rationale: The correct answer is B: Physically abused from ages 3 to 10. Childhood physical abuse can lead to trauma, emotional dysregulation, and aggression, increasing the risk of developing behaviors associated with intermittent explosive disorder (IED). This chronic exposure to violence can impact brain development, leading to difficulties in impulse control and emotional regulation, key features of IED. Orphaned at age 4 (choice A) may lead to attachment issues but is not directly linked to IED. Being born with a chronic congenital disorder (choice C) is a medical condition and not a psychological factor contributing to IED. Having a parent with obsessive-compulsive disorder (choice D) may influence anxiety levels but is not a direct risk factor for IED.

Correct Answer: A

Rationale: The correct answer is A: psychoeducation. This involves providing information and education about mental health conditions, treatment options, coping strategies, and resources available. This helps individuals and families understand the recovery process and available support. Creating a care plan (B) is important but not specifically focused on education. Referring to a psychiatrist (C) is more about treatment rather than education. Referring to a website (D) may not cater to individual needs or provide personalized support like psychoeducation does.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Notify the client's physician: It is crucial to inform the client's physician immediately about the elopement to ensure appropriate medical oversight. 2. Follow facility policy: Following established protocols is essential to manage the situation effectively and maintain the client's safety. 3. Document the incident: Detailed documentation is necessary for legal and clinical purposes to track the event's specifics and subsequent actions taken. 4. Review elopement precautions: By reviewing and potentially updating elopement prevention strategies, the facility can enhance security measures to prevent future incidents. Summary: A: Involuntarily admitting the client to another facility without proper evaluation and consent is not appropriate and may violate the client's rights. C: Sending a therapeutic assistant alone to retrieve the client can be unsafe and may not address the underlying reasons for elopement. D: Involving the police in another state could escalate the situation and may not prioritize the client's mental health needs.