Members of the treatment team must determine whether they have a duty to warn the ex-spouse of a client with severe and persistent mental illness who has indicated that he heard voices telling him to "hurt her as much as she hurt me."
As they weigh the problem, the team members identify which of the following factors as an in-dication of an increased risk for violence?
1. The fact that the client's group therapy is aimed at learning better impulse control
2. The client's ongoing refusal to take psychotropic medications
3. Absence of command hallucinations
4. Regular attendance at AA meetings
ANS: 2
Risk for violence is increased when the severely and persistently mentally ill client refuses psy-chotropic medications. Other risk factors include experiencing command hallucinations and sub-stance abuse (thus options 3 and 4 are incorrect). Option 1 would reduce risk (as long as therapy is effective).
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