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Practice Question

A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Answer Choices:

Correct Answer:

Ensure the client's ex-partner is notified of the threat

Rationale:

♦️ Nurses have a legal duty to warn identifiable third parties of credible threats, as established by the Tarasoff ruling.

♦️ If a client expresses a clear intention to harm a specific individual, the nurse must take steps to protect the potential victim.

♦️This action aligns with the nurse’s duty to protect, which may include notification of the intended target and authorities.

♦️ Breaching confidentiality is legally permissible when it is required to prevent imminent harm.

♦️Documenting the threat and alerting the care team and appropriate entities is essential.

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This question is from RN ATI Mental Health Assessment Exam which contains 50 questions.

More Questions from This Exam
A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?

Answer Choices:

A. A client who is a voluntary admission does not have the right to request to be discharged.
B. A client who is admitted involuntarily has the right to refuse to participate in therapy.
C. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications.
D. A client who is a voluntary admission cannot withdraw consent after has been given.
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?

Answer Choices:

A. The client has a serotonin deficiency
B. The client has acute bronchitis
C. The client has an elevated calcium level
D. The client is an only child
A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)

Answer Choices:

A. The clients advance directives status
B. The clients willingness to attend a support group
C. The client's current health status
D. The client's family support system
E. The client's involvement in a spiritual community
From Exam
RN ATI Mental Health Assessment Exam

50 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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