A patient tells the nurse, "When I get out, I'm going to get even with a lot of people." With respect to the nurse's duty to warn, the nurse should
a. take no action on a general threat.
b. notify local law enforcement officials.
c. warn close relatives and significant other.
d. document and discuss the threat with the clinical team.
D
The Tarasoff ruling specifies that a specific threat to a readily identifiable person or persons must be made. In this situation, the threat is nonspecific. The prudent action is to document and discuss with the clinical team to determine the need for providing a warning to third parties.
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