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 D
Explanation
A. Assist the client in addressing a specific problem: While Maslow’s hierarchy can help identify underlying needs that may contribute to a specific problem, it is not primarily used for addressing specific problems directly. Instead, it provides a framework for understanding the broader context of a client’s needs.
B. Change a client's behavior: Maslow’s hierarchy is not specifically designed to change behavior. It is more about understanding the different levels of needs that motivate behavior. Behavior change might be a result of addressing these needs, but it is not the primary purpose of the hierarchy.
C. Establish a therapeutic relationship: Understanding a client’s needs according to Maslow’s hierarchy can help build rapport and trust, which are essential for a therapeutic relationship. However, the primary use of the hierarchy is not to establish relationships but to understand and prioritize needs.
D. Prioritize care: This is the most accurate use of Maslow’s hierarchy. It helps nurses prioritize care by addressing the most fundamental needs first (such as physiological and safety needs) before moving on to higher-level needs (such as love/belonging, esteem, and self-actualization). This ensures that the most critical needs are met first, which is essential in a healthcare setting.
Correct Answer is C
Explanation
A. the exploitation subphase: The exploitation subphase occurs later in the therapeutic relationship when the client begins to use the relationship for their benefit, not the initial stage of building trust.
B. the resolution phase: The resolution phase is the final stage of the therapeutic relationship when the client’s issues are resolved and the relationship is ending. Trust-building occurs earlier.
C. the orientation phase: This is correct. The orientation phase is the initial stage of the nurse-client relationship where trust is established, and the foundation for future interactions is built.
D. the problem identification subphase: The problem identification subphase involves recognizing and clarifying the client's issues. Trust-building occurs earlier in the orientation phase
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