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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
Correct Answer is A
Explanation
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.
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