What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plan to kill a family member?
The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member
The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff
The student must respect the client's privacy and not tell anyone
The student nurse must tell the instructor and then ask the instructor to keep it a secret
The Correct Answer is C
A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member: Correct. The student nurse has a duty to report any threats of harm to others.
B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff: This approach is dishonest and unethical.
C. The student must respect the client's privacy and not tell anyone: The nurse has a duty to report threats to safety.
D. The student nurse must tell the instructor and then ask the instructor to keep it a secret: The instructor also has a duty to report threats to safety.
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Correct Answer is D
Explanation
A. "It enables clients to see that other individuals have mental health issues." This option is partially correct because one of the benefits of group therapy is that it helps clients understand they are not alone in their struggles and that others share similar issues. This can be comforting and validating for clients.
B. "It provides a forum to reinforce client teaching regarding medication administration." This is not typically the primary function of group therapy. While medication education may occasionally be part of group discussions, the main focus of group therapy is on interpersonal interactions and support rather than specific teaching about medication.
C. "It is economical, since one staff member can treat many clients at once." Although group therapy can be cost-effective, this reason is secondary to its therapeutic value. The primary goal of group therapy is to provide therapeutic benefits through interaction and shared experiences rather than focusing on cost-efficiency.
D. "It establishes a situation where the client can relate to others and share perceptions." This option is the most accurate. Group therapy allows clients to relate to others with similar issues, share experiences, and gain support, which is fundamental to the therapeutic process.
Correct Answer is B
Explanation
A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.
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