# Situation: The nurse supervisor of a mental health facility is reviewing ward practices to be sure they comply with the Mental Health Act (Republic Act [RA] 11036). The supervisor audits how four men admitted on Monday night were informed of their rights. None of them reads or speaks English. • Client 1 — admitted 22:00; rights read aloud to him in English at 08:00 Tuesday • Client 2 — admitted 23:00; rights explained in his own language at 18:00 Tuesday; he restates them correctly • Client 3 — admitted 20:00; rights explained in his own language at 09:00 Wednesday; he restates them correctly • Client 4 — admitted 21:00; printed rights in his own language left at his bedside at 07:00 Tuesday; he cannot read Whose record shows that the Act's rule on informing service users of their rights was met?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630067  
> language: ko  
> subject: Nursing Practice V — Care of Clients with Maladaptive Patterns of Behavior; Care of Clients with Life-Threatening Conditions, Acute Multi-Organ Problems, High Acuity and Emergency Situations

## 문제

Situation: The nurse supervisor of a mental health facility is reviewing ward practices to be sure they comply with the Mental Health Act (Republic Act [RA] 11036).

The supervisor audits how four men admitted on Monday night were informed of their rights. None of them reads or speaks English.
• Client 1 — admitted 22:00; rights read aloud to him in English at 08:00 Tuesday
• Client 2 — admitted 23:00; rights explained in his own language at 18:00 Tuesday; he restates them correctly
• Client 3 — admitted 20:00; rights explained in his own language at 09:00 Wednesday; he restates them correctly
• Client 4 — admitted 21:00; printed rights in his own language left at his bedside at 07:00 Tuesday; he cannot read
Whose record shows that the Act's rule on informing service users of their rights was met?

## 보기

1. Client 1
2. Client 2 **✔ 정답**
3. Client 3
4. Client 4

**정답: 2**

## 해설

Among the rights of service users, RA 11036 requires that they be informed of their rights within 24 hours of admission to a mental health facility, in a form and language they understand. Client 2 was informed 19 hours after admission in his own language and understood; each of the others fails either the time limit or the form-and-language requirement.

## 심화 해설

Two requirements: time and understanding
Under the Mental Health Act (Republic Act 11036), service users admitted to a mental health facility must be informed of their rights within 24 hours of admission, in a form and language they understand. Both conditions must be met; meeting one is not enough. Client 2 was informed 19 hours after admission, in his own language, and restated his rights correctly, so his record shows the rule was met. Each of the other records fails either the time limit or the form-and-language requirement.

| Client | Time from admission | Language and form | Rule met? |
| --- | --- | --- | --- |
| 1 | 10 hours | Read in English, which he does not understand | No |
| 2 | 19 hours | Explained in his own language; restates correctly | Yes |
| 3 | 37 hours | Explained in his own language | No: beyond 24 hours |
| 4 | 10 hours | Printed in his language, but he cannot read | No |

Working out the times
Client 1 was admitted at 22:00 Monday and informed at 08:00 Tuesday, 10 hours later, but in English, which he does not read or speak. Client 2 was admitted at 23:00 Monday and informed at 18:00 Tuesday, 19 hours later. Client 3 was admitted at 20:00 Monday and informed at 09:00 Wednesday, 37 hours later, beyond the 24-hour limit. Client 4 was admitted at 21:00 Monday and given printed rights at 07:00 Tuesday, 10 hours later, but he cannot read, so the form was not one he could understand.

Why understanding is the point
The purpose of informing service users of their rights is to allow them to exercise those rights, such as the right to informed consent, to confidentiality, to communicate with others, and to legal representation. Information given in a language or form the person cannot understand does not achieve this. Teach-back, in which the service user restates the rights, is good evidence that understanding occurred, as in Clients 2 and 3. Documentation should record the time, the language and form used, and the person's response.

Watch out! Audit questions like this test both conditions at once. Calculate the hours carefully across midnight, then check the language and form. A record that fails either condition fails the rule.

Exam takeaway
Key point! RA 11036 requires service users to be informed of their rights within 24 hours of admission, in a form and language they understand. Reading in an unfamiliar language or leaving printed material for someone who cannot read does not meet the rule.

## 임상 시나리오

Informing Service Users of Their RightsMental Health Act (RA 11036) audit
Service users must be informed of their rights within 24 hours of admission, in a form and language they understand. Both conditions must be met.

Client 2 was informed after 19 hours in his own language and restated his rights correctly. Client 3 was informed after 37 hours, beyond the limit.

English for a client who does not speak it, or printed rights for a client who cannot read, fails the form-and-language requirement.

CautionDocument the time, language, and form used, and confirm understanding with teach-back.

## 핵심 개념

- **RA 11036** — The Philippine Mental Health Act, which sets out the rights of service users and duties of mental health facilities.
- **Service user** — A person who uses mental health services, the term used in RA 11036.
- **Informed consent** — Voluntary agreement to treatment by a person who has received and understood the relevant information.
- **Teach-back** — Asking the person to restate information in his own words to confirm understanding.

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