Licensed Clinical Social Worker (LCSW) Practice Exam

What right does a client with bipolar disorder NOT have during an involuntary psychiatric admission?

1. To leave the hospital regardless of his condition

2. To communicate with family members

3. To refuse certain medications

4. To request a second opinion

The correct answer is: To leave the hospital regardless of his condition

During an involuntary psychiatric admission, clients maintain certain rights that are designed to respect their dignity and autonomy, even while they are undergoing treatment. However, one of the key aspects of involuntary admissions is that patients may not have the right to leave the hospital against medical advice, particularly if their condition poses a risk to themselves or others. This limitation is put in place to ensure the safety of both the individual and the public. While clients with bipolar disorder can communicate with their family members, refuse certain medications (in some circumstances where their treatment plan allows for such refusals), and request a second opinion about their treatment, these rights are typically upheld to support the individual's welfare and involvement in their care process. Thus, the right to leave the hospital regardless of their condition is not one that is afforded to clients during such admissions, as their treatment is prioritized over their immediate desire to exit the facility.