A 16-year-old client asks the nurse conducting the assessment interview "Why should I tell you
anything? You'll just run back and tell my mother whatever you find out.". The best reply for the
nurse would be
a. "That's not true. Whatever you tell me will be held in the strictest confidence.".
b. "Your mother may find out what you say, but is that really such a bad thing?"
c. "Anything you say about feelings is confidential, but things like suicidal thinking
must be reported to the treatment team.".
d. "It sounds as though you're not really ready to work on your problems and make
changes.".
ANS: C
The client has a right to know that most information will be held in confidence but that certain
material must be reported or shared with the treatment team, such as threats of suicide, homicide, use
of illegal drugs, or issues of abuse. Option A is not strictly true. Option B will not inspire the
confidence of the client. Option D is confrontational.
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