During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?

Both the nurse and therapist are reprimanded for divulging confidential patient information to others.

The nurse and therapist will be asked to educate other team members on appropriate sharing of client information.

The nurse is reprimanded for divulging confidential patient information without obtaining informed consent.

The therapist is reprimanded for divulging confidential patient information without obtaining consent.

Answer and Explanation

The Correct Answer is B

A.   Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate.
B.   The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality.
C.   The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent.
D.   The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.

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Correct Answer is A

Explanation

A. Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability.
B. Identifying personal traits might be a part of therapy but is not the primary goal immediately after an overdose.
C. While exercise can be beneficial, it's not the primary concern right after a suicide attempt.

D. Discussing relationship needs is important but not the immediate priority after a suicide attempt.

A. Increased talkativeness and pressure to keep talking. B. Illogical response to questions asked. C. Poor concentration and slow thought process. D. Ritual daily breast exams for fear of cancer.

Correct Answer is D

Explanation

A. Increased talkativeness and pressure to keep talking might be seen in conditions like mania or anxiety, not specifically illness anxiety disorder.
B. Illogical responses could be indicative of thought disorders but are not characteristic of illness anxiety disorder.
C. Poor concentration and slow thought processes might suggest cognitive issues but are not specifically linked to illness anxiety disorder.
D. Ritualistic behaviors such as daily breast exams due to fear of cancer are characteristic of illness anxiety disorder (previously known as hypochondriasis).

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Naxlex Comprehensive Predictor Exams

A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

Correct Answer is A

Explanation

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Correct Answer is D

Explanation

The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?

A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?