A client was brought in to the hospital by police after verbally threatening the staff at a homeless shelter when they turned the client away
Which would be the most appropriate response by the nurse to the client's statement, "You all better let me stay here, or the next time, I'll use a gun." 1. "Do you have a gun? Are you threatening to kill someone?"
2. "Sounds like you are trying to manipulate the system. We only treat people with real problems here."
3. "It sounds like you are very concerned about having somewhere to stay. Can you tell me more about what you would do if you couldn't stay here?"
4. "We cannot let you stay here unless you promise not to hurt anyone."
3
Rationale: Assessment of violence risk includes identification of plan, means, and intent. The client's threat should not be ignored. Admission is not based on the client's ability to contract for safety as the client is a greater threat if unable to contract for safety. Focusing on the gun ignores the basis for the client's anxiety which needs further exploration to determine whether an alternative to hospitalization is an appropriate solution.
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