During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?

Both the nurse and therapist are reprimanded for divulging confidential patient information to others.

The nurse and therapist will be asked to educate other team members on appropriate sharing of client information.

The nurse is reprimanded for divulging confidential patient information without obtaining informed consent.

The therapist is reprimanded for divulging confidential patient information without obtaining consent.

Answer and Explanation

The Correct Answer is B

A.   Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate.
B.   The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality.
C.   The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent.
D.   The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.

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Correct Answer is B

Explanation

A. Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate.
B. The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality.
C. The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent.
D. The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.

A. Vomiting, seizures, and loss of consciousness. B. Depression, fatigue, and dizziness. C. Hypotension, shallow respirations, and dilated pupils. D. Agitation, sweating, and abdominal cramps.

Correct Answer is D

Explanation

A. Vomiting, seizures, and loss of consciousness are severe manifestations but not commonly associated with narcotic withdrawal.
B. Depression, fatigue, and dizziness are symptoms commonly associated with depression but not specifically with narcotic withdrawal.
C. Hypotension, shallow respirations, and dilated pupils are more indicative of opioid overdose rather than withdrawal.
D. Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is D

Explanation

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

A young female client is admitted to the emergency room because she was raped that evening by her date. Which computer documentation should the nurse enter in the electronic medical record as the client's chief complaint?

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?

A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?

A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?