A hospital patient has attributed his long-standing struggle with depression to the fact that he was sexually abused by his father as a child and early adolescent
The patient has admitted to the nurse that he intends to seek out his father and "do some justice." What is the nurse's primary responsibility in response to the patient's threat?
A) Document that the patient is experiencing delusions.
B) Note the statement mentally but maintain silence to protect the patient's confidentiality.
C) Inform the patient that threats of violence will not be tolerated in the health care facility.
D) Report the patient's threat to the appropriate authorities.
Ans: D
Nurses have a duty to report threats of harm so that appropriate action may be taken. This action may vary from state to state, but the duty to report threats of violence supersedes the patient's right to privacy.
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