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. "Can the children's mother get by for a while until you get better?": This statement is dismissive of the client's responsibility and does not show positive regard.
B. "How is not working right now affecting you?": Correct. This statement shows empathy and concern for the client's well-being without passing judgment, which reflects positive regard.
C. "You need to somehow support your children.": This statement is directive and judgmental, not reflecting positive regard.
D. "How do you expect your kids to be provided for?": This statement is confrontational and does not demonstrate positive regard.
Correct Answer is C
Explanation
A. Public safety: While public safety is important, the primary aim of hospitals established by Dorothea Dix was not specifically for this purpose.
B. Confinement: Confinement was a method used in earlier institutions but does not reflect the progressive goals of Dorothea Dix’s efforts, which focused on more humane care.
C. Therapeutic milieu: Dorothea Dix advocated for creating a therapeutic environment and improving mental health care, which aligns with the concept of a therapeutic milieu.
D. Asylum: While Dix’s efforts did contribute to the establishment of asylums, her main goal was to improve care and treatment for the mentally ill rather than simply creating asylums.
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