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    Nu 400-Mental Health Psychiatric Proctored Exam (Exam 2 Week 6)- St Joseph’s College of Maine

    A client was brought to the emergency department by police after neighbors complained that he was loud and disruptive. The client is paranoid and upset and states, “No one can be trusted." Which of the criteria for involuntary admission does this client meet?

    Explanation & Rationale

    Choice A reason: Gravely disabled refers to a person who cannot meet basic needs such as food, shelter, or hygiene due to mental illness. There is no indication in the scenario that the client is unable to care for himself, so this criterion does not apply. Choice B reason: Dangerous to self involves behaviors or statements indicating self-harm or suicidal ideation. The client expresses paranoia but does not indicate intent to harm himself. Choice C reason: Being loud and disruptive in public, combined with paranoid ideation, may pose a threat to others. If the behavior is aggressive or unpredictable, it meets the criterion of being dangerous to others, justifying involuntary admission for psychiatric evaluation. Choice D reason: The client’s behavior and mental state suggest he may pose a risk to others. Therefore, stating that he does not meet any criteria is incorrect.

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