What is the most important reason the nurse should avoid making promises or agreeing to keep secrets for psychiatric clients?
1. It is a legal rule that all information must be shared with the treatment team.
2. Trust is destroyed when the information must be shared with the treatment team.
3. The client cannot be allowed to manipulate the nurse.
4. The nurse should not bear the burden of the secret.
ANS: 2
When a promise is broken or a secret told, trust in the individual and the "system" is disrupted. It is more difficult for the client to understand why the promise could not be kept after the fact than when it is explained initially. Option 1 is untrue. Options 3 and 4 are irrelevant.
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