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 B
Explanation
A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.
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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