Which response by the nurse manager to a novice mental health nurse is most effective when the nurse asks, "How do I justify not keeping a patient's secret?"
a. "Never promise the patient that you will keep a secret for them."
b. "Always stop the patient from telling you something as a secret."
c. "Let the patient know that you will not keep a secret that could ultimately cause harm or affect their treatment."
d. "Keep reminding yourself that you are not the patient's friend but rather a profes-sional mental health provider."
ANS: C
Nurses and other healthcare professionals do not keep secrets or make promises to patients when the secret may interfere with the patient's treatment or put them or others at risk for harm. The remaining options offer appropriate nursing actions but do not effectively answer the nurse's question.
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