What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plan to kill a family member?
The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member
The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff
The student must respect the client's privacy and not tell anyone
The student nurse must tell the instructor and then ask the instructor to keep it a secret
The Correct Answer is C
A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member: Correct. The student nurse has a duty to report any threats of harm to others.
B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff: This approach is dishonest and unethical.
C. The student must respect the client's privacy and not tell anyone: The nurse has a duty to report threats to safety.
D. The student nurse must tell the instructor and then ask the instructor to keep it a secret: The instructor also has a duty to report threats to safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Advising: Advising is a non-therapeutic communication technique because it imposes the nurse’s opinions on the client rather than exploring the client’s thoughts and feelings. It can inhibit the client's self-expression and problem-solving abilities.
B. Silence: Silence is generally a therapeutic technique that allows clients time to think and reflect. It can facilitate deeper conversation and self-exploration.
C. Focusing: Focusing involves directing the client's attention to a particular aspect of their experience or issue. It is a therapeutic technique that helps clients explore specific issues in more depth.
D. Reflecting: Reflecting is a therapeutic technique where the nurse mirrors the client's feelings or thoughts to help them explore and understand their emotions better.
Correct Answer is B
Explanation
A. Thought content: Thought content refers to the subject matter of what a person is thinking about, such as the presence of delusions or obsessions, but not necessarily whether their thoughts are logical.
B. Thought process: Thought process involves the way thoughts are organized and connected. Assessing if ideas are logical and make sense pertains to the thought process.
C. Memory: Memory pertains to the ability to recall information, not the logical consistency of thought processes.
D. Sensorium: Sensorium relates to the state of consciousness and awareness, not the logical structure of thoughts.
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