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You are a psychiatric nurse practicing in a state hospital system. A client is involuntarily admitted to the psychiatric unit and is restrained. Consider the client’s rights in this situation. Also, consider the relationship of self-determinism to competence by differentiating clients who are competent to give consent and those who are incompetent when admitted involuntarily and restraints are used.
Discuss the nurse’s role with informed consent in the case of a client involuntarily admitted and restrained.
How is involuntary status executed in a hospital environment?
Who is responsible for the decisions; who ultimately decides to commit the client?
What are the time parameters for this process?
Define competency to consent to or refuse treatment and relate the definition to the Self-Determination Act.

 
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