RN HESI Mental Health Proctored Exam
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Explanation & Rationale
A. Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate. B. The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality. C. The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent. D. The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.
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