Which of the following would indicate a duty to warn a third party?

A client with delusions states, "I'm going to get them before they get to me"

A client says he plans to blow up the government.

A client states "If I can't have my girlfriend back, then no one can have her."

A hostile client says "I hate all police"

Answer and Explanation

The Correct Answer is C

A. A client with delusions states, "I'm going to get them before they get to me" This statement is concerning because it suggests a potential threat. However, it is vague and does not specify a particular individual or group. While it warrants further assessment and monitoring, it may not immediately trigger a duty to warn a specific third party without more information.
B. A client says he plans to blow up the government. This statement indicates a threat to a broad and non-specific target (the government). While it is serious and requires intervention, it does not fall under the typical duty to warn a specific third party. Instead, it would likely involve notifying authorities to prevent potential harm.
C. A client states "If I can't have my girlfriend back, then no one can have her." This statement is a direct threat to a specific individual (the girlfriend), indicating potential harm. In such cases, the nurse has a duty to warn the third party and take appropriate steps to ensure their safety.
D. A hostile client says "I hate all police" While this statement indicates hostility, it does not specify a direct threat of harm or action, so it may not necessarily indicate an immediate duty to warn.

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Correct Answer is B

Explanation

A. Thought content: Thought content refers to the subject matter of what a person is thinking about, such as the presence of delusions or obsessions, but not necessarily whether their thoughts are logical.
B. Thought process: Thought process involves the way thoughts are organized and connected. Assessing if ideas are logical and make sense pertains to the thought process.
C. Memory: Memory pertains to the ability to recall information, not the logical consistency of thought processes.
D. Sensorium: Sensorium relates to the state of consciousness and awareness, not the logical structure of thoughts.

A. "If you don't participate in your care, you will not get better." B. "You can remain in bed until you feel well enough to join the group." C. "I will assist you in getting out of bed and getting dressed." D. "The unit rules state that clients may not remain in bed."

Correct Answer is C

Explanation

A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.

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Which of the following would indicate a duty to warn a third party?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse is assessing whether or not the client's ideas are logical and make sense, the nurse is examining which of the following?

Correct Answer is B

Explanation

A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?

Correct Answer is C

Explanation

Which of the following is true regarding mental health?

Which of the following is a non-therapeutic communication technique?

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Which is a positive aspect of treating clients with mental illness in a community-based care?

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Which of the following statements about nonverbal communication skills is accurate?