A male adolescent was admitted to a psychiatric unit after a violent physical outburst. He asks the
nurse to promise to keep confidential a plan he has to kill his father. The nurse should respond by
saying
a. "Those kinds of thoughts will make your hospitalization longer.".
b. "I can make that promise to you based on nurse-client privilege.".
c. "You really should share this thought with your psychiatrist.".
d. "I am obligated to share information with the treatment team.".
ANS: D
Breach of nurse-client confidentiality does not pose a legal dilemma for nurses in these
circumstances because a team approach to delivery of psychiatric care presumes communication of
client information to other staff members to develop treatment plans and outcome criteria.
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