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"

Answer and Explanation

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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Correct Answer is D

Explanation

A. Restricted affect: Restricted affect indicates a limited range of emotions but not a complete lack of expression.
B. Broad affect: Broad affect indicates a wide range of emotional expressions, which is not the case here.
C. Blunt affect: Blunt affect indicates a severe reduction in the intensity of emotional expression, but some expression is still present.
D. Flat affect: Correct. Flat affect indicates a complete lack of emotional expression, which matches the client's behavior.

A. Oriented to time, place and personal hygiene B. Alert and oriented to person, place and time C. Anxious, alert and oriented to place D. Awake and oriented to place

Correct Answer is B

Explanation

A. Oriented to time, place and personal hygiene: This is incorrect. Orientation X3 refers to being oriented to person, place, and time, not personal hygiene.
B. Alert and oriented to person, place and time: This is correct. "Oriented X3" means that the client is aware of who they are (person), where they are (place), and what time it is (time).
C. Anxious, alert and oriented to place: This is incorrect. Orientation X3 does not specifically address anxiety or focus solely on orientation to place.
D. Awake and oriented to place: This is incorrect. Orientation X3 includes person, place, and time, not just being awake and oriented to place.

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Which of the following would indicate a duty to warn a third party?

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Naxlex Comprehensive Predictor Exams

A client shows no facial expression when engaging in a game with peers during an outing in the park. The nurse uses which of the following terms when documenting the client's affect?

Correct Answer is D

Explanation

During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Correct Answer is B

Explanation

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