A client tells the nurse, "My therapist stroked my face and asked me to come to his house for a romantic evening." What action should the nurse take?
1. Call the police.
2. Immediately report the client's claims to the appropriate authority.
3. Discuss the statements with the medical director.
4. Do nothing, as psychiatric clients often are unreliable.
2
Rationale: Clients with mental illness are particularly vulnerable to both physical and psychological abuse and often do not have the ability or power to defend themselves. Nurses must report suspected instances of client abuse. Calling the police may eventually be needed, but it is important to follow the chain of command when reporting.
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