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 A
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 C
Explanation
A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.
Correct Answer is C
Explanation
A. Open group: Open groups allow new members to join at any time and existing members to leave as needed. The described group has a set duration and consistent membership, so it is not an open group.
B. Self-help group: Self-help groups are typically organized and led by group members who share a common issue or concern. The described group is more structured and led by a therapist, not fitting the self-help group model.
C. Closed group: A closed group is characterized by a fixed membership that remains the same throughout the sessions. The group described, meeting weekly for 10 sessions, fits this description.
D. Educational group: Educational groups focus on teaching specific knowledge or skills. The described group focuses on addressing feelings of depression through therapeutic sessions, not primarily on education.
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