An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response
a. "You're right. Federal law requires me to keep that information private."
b. "Those kinds of thoughts will make your hospitalization longer."
c. "You really should share this thought with your psychiatrist."
d. "I am obligated to that share information with the treatment team."
D
Breach of nurse-patient confidentiality does not pose a legal dilemma for nurses in these circumstances because a team approach to delivery of psychiatric care presumes communication of patient information to other staff members to develop treatment plans and outcome criteria. The patient should know that the team may have to warn the father of the risk for harm.
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A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:
a. "You are probably right. You should remind your doctor of your symptoms every time you visit." b. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." c. "Men are not usually sympathetic to PMS sufferers." d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."
Which clinical manifestation would serve to alert the nurse that a client's osteomyelitis is chronic, rather than acute?
A. Ulceration of the skin B. Temperature more than 101° F (38° C) C. Erythema of the affected area D. Swelling around the affected area
One of the primary goals in providing rehabilitation services to clients with schizophrenia is to:
a. obtain good paying employment for them b. eliminate the presence of negative symptoms c. help them problem solve in everyday social challenges d. reduce psychotic relapse rates significantly to save money
The nurse has asked the assistive personnel to take the blood pressure of a client who experienced a left mastectomy 3 days ago
Which of the following statements by the assistive personnel shows the best understanding re-garding the appropriate assessment technique for this particular client? 1. "Is there anything affecting her right arm?" 2. "Has she been experiencing any edema in that left arm?" 3. "How long has it been since she had her breast removed?" 4. "I'll wait until she's been medicated for pain before I take it."