A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed?
Select one:
File an incident report because violation of privacy has been done.
Both the nurse and the healthcare provided did violation of confidentiality and privacy
Inform the Board of Nursing that violation of patient's privacy.
None. The action was appropriate due to duty to warm law.
The Correct Answer is D
In this scenario, the client has expressed a serious threat to harm someone, which triggers a healthcare provider's duty to warn law. The nurse appropriately informed the healthcare provider, who then informed their boss, to protect the potential victim from harm. This action is not a violation of privacy or confidentiality, as it is necessary for the safety and wellbeing of others.
Therefore, no disciplinary action is required for the nurse or the healthcare provider, as they acted in accordance with their professional and legal obligations to protect the safety of others.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Buspirone and benzodiazepines are both medications used to treat anxiety disorders, but they work in different ways. Benzodiazepines like Xanax work by enhancing the effects of a neurotransmitter called GABA, which can produce a sense of relaxation and calmness. However, benzodiazepines can also cause dependence, tolerance, and withdrawal symptoms when used for a prolonged period.
On the other hand, buspirone works by binding to serotonin and dopamine receptors in the brain, which can reduce anxiety. Unlike benzodiazepines, buspirone does not cause dependence, tolerance, or withdrawal symptoms, which makes it a safer option for long-term treatment of anxiety disorders.
Therefore, the healthcare provider may have prescribed buspirone instead of alprazolam because it is a safer alternative for long-term use, especially for individuals who have a history of substance abuse or dependence. The nurse should explain the benefits of buspirone and address any concerns the client may have about the medication.

Correct Answer is A
Explanation
Chronic anxiety is a persistent feeling of unease, worry, or fear that can interfere with daily life. To manage chronic anxiety, the client needs to identify anxiety-producing situations that trigger their symptoms. This can help the client avoid or cope better with these situations. It is important to note that it is not always possible to eliminate stress and anxiety from daily life, so it is better to focus on managing it effectively.
Trying to repress feelings of anxiety is not a helpful strategy and can make the client's symptoms worse in the long run. Repressing emotions can lead to feelings of frustration, irritability, and even physical symptoms such as headaches or muscle tension.
Contacting the crisis counselor once a week may be helpful for some clients, but it is not a standard recommendation for all clients with chronic anxiety. The discharge plan should include personalized recommendations that are tailored to the client's specific needs and circumstances.

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