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. "You are in really good shape for your age." This response minimizes the client’s feelings and focuses on physical condition rather than addressing the emotional and existential concerns expressed by the client.
B. "This is just a minor setback. You will be back on your feet in no time." This response downplays the significance of the client’s feelings and may be perceived as dismissive. It does not address the client’s concerns about the end of life.
C. "You feel as though your life is ending?" This response acknowledges and validates the client’s feelings, providing an opportunity for further exploration and support. It shows empathy and encourages the client to express their emotions.
D. "The doctors are going to take good care of you. There is nothing to worry about." This response reassures the client about medical care but does not address the emotional aspect of the client’s statement regarding the end of life.
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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