A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client states which of the following?
A) "I think that the federal government is spying on me."
B) "I get really 'turned on' by your appearance."
C) "That doctor I had today really made me angry."
D) "When I get out of here, I'm going to kill my neighbor."
Ans: D
When there is a judgment that a client has harmed someone or is about to injure someone, a nurse is mandated to breach confidentiality and report this to the authorities. The statement about killing the neighbor is an example. Thinking that the federal government is spying on the person reflects paranoid thinking. The statement about being "turned on" reflects manipulative behavior. The statement about feeling angry about the doctor provides information about the client's feelings. The nurse would be mandated to report this statement only if the client went on to say that he or she was planning to "hurt" the doctor.
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