Which of the following would indicate a duty to warn a third party?
A client with delusions states, "I'm going to get them before they get to me"
A client says he plans to blow up the government.
A client states "If I can't have my girlfriend back, then no one can have her."
A hostile client says "I hate all police"
The Correct Answer is C
A. A client with delusions states, "I'm going to get them before they get to me" This statement is concerning because it suggests a potential threat. However, it is vague and does not specify a particular individual or group. While it warrants further assessment and monitoring, it may not immediately trigger a duty to warn a specific third party without more information.
B. A client says he plans to blow up the government. This statement indicates a threat to a broad and non-specific target (the government). While it is serious and requires intervention, it does not fall under the typical duty to warn a specific third party. Instead, it would likely involve notifying authorities to prevent potential harm.
C. A client states "If I can't have my girlfriend back, then no one can have her." This statement is a direct threat to a specific individual (the girlfriend), indicating potential harm. In such cases, the nurse has a duty to warn the third party and take appropriate steps to ensure their safety.
D. A hostile client says "I hate all police" While this statement indicates hostility, it does not specify a direct threat of harm or action, so it may not necessarily indicate an immediate duty to warn.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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