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. A nurse should only assess one type of communication when talking to a client: Effective communication involves assessing both verbal and nonverbal cues.
B. Verbal communication is the most important because it’s what the patient says: Nonverbal communication can often provide more information about a client's feelings and attitudes than verbal communication.
C. Nonverbal communication is not important when dealing with mental health illness: Nonverbal communication is crucial in mental health, as it can convey emotions and states that clients may not be able to express verbally.
D. Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact, facial expression, tone of voice, speed and hesitations in speech, grunts and groans, and distance from the speakers.: Correct. This statement accurately describes the various components of nonverbal communication.
Correct Answer is C
Explanation
A. Evaluate medical treatments: The DSM (Diagnostic and Statistical Manual of Mental Disorders) does not evaluate medical treatments. It is used for diagnosing mental health conditions, not for assessing the effectiveness of treatments.
B. Understand the reason for the psychiatric admission: While the DSM helps in diagnosing mental disorders, it does not specifically explain the reasons for a psychiatric admission, which may involve multiple factors beyond just diagnosis.
C. Identify the medical diagnosis: The DSM is primarily used to identify and classify mental health diagnoses. This is the most accurate use of the DSM.
D. Treat clients: The DSM is not a treatment manual. It provides diagnostic criteria but does not offer treatment protocols or methods.
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