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Practice Question

A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?

Answer Choices:

Correct Answer:

Report the information to local authorities.

Rationale:

🔴 When a client threatens to harm someone, the nurse has a legal and ethical obligation to break confidentiality and report the threat to local authorities under the duty to warn and protect doctrine.

🔴 Clients with antisocial personality disorder may display impulsivity and disregard for the safety of others, which increases the risk of violence.

🔴 Reporting is essential to prevent harm, ensure public safety, and initiate protective measures.

🔴 The nurse should also document the threat and notify the provider, but reporting is the priority action.

🔴 Failing to act could result in legal consequences for the facility and the nurse.

Want to practice more questions like this?

This question is from RN ATI Mental Health-2023 which contains 45 questions.

More Questions from This Exam
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

Answer Choices:

A. Remain with the client for 1 hr after meals.
B. Weigh the client every other day.
C. Offer snacks when the client is hungry.
D. Plan a menu with the client.
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?

Answer Choices:

A. "Ask a family member to check the locks for you at night."
B. "Focus on abdominal breathing whenever you go to check the locks."
C. "Keep a journal of how often you check the locks each night."
D. "Snap a rubber band on your wrist when you think about checking the locks."
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

Answer Choices:

A. Improvement in manifestations of depression
B. Reduced frequency of panic attacks
C. Reduced frequency of seizures
D. Decreased fear of heights
A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Answer Choices:

A. "You should try to focus on yourself for a change."
B. "Why do you feel like things will never work out?"
C. "Have you been thinking about harming yourself?"
D. "Maybe an antidepressant will make you feel better."
From Exam
RN ATI Mental Health-2023

45 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Mental Health
  • Answer Choices: 4
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