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    Ati rn mental health proctored exam 2023

    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?

    Explanation & Rationale

    A. Although extending the client's stay may allow for further treatment, it is not the most immediate or necessary action in this situation. The priority is ensuring safety, which requires reporting the threat to appropriate authorities. B. Confidentiality is essential in healthcare, but it does not override the obligation to report threats of harm to others. The nurse must prioritize the safety of the potential victim, which requires breaching confidentiality to report the threat. C. While risk management may be involved later, the nurse’s first responsibility is to report the imminent threat of harm to the appropriate authorities to prevent harm to the partner. D. The nurse has a legal and ethical obligation to report any threats of harm to others. By notifying local authorities, the nurse helps prevent potential harm to the partner, ensuring their safety.

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