Assess the threat of violence assignment

Assess the threat of violence assignment
Which action should the clinician take when there is
reasonable certainty that a client is going to harm
someone? Select all that apply.
1. Assess the threat of violence toward another.
2. Identify the person being threatened.
3. Notify the identified victim.
4. Notify only law enforcement authorities to protect
confidentiality.
5. Consider petitioning the court for continued
commitment.
12. A nurse is attempting to administer antianxiety
medication to an involuntarily committed client. The
client refuses the medication, curses, and states,
“I’m going to kill you.” Which nursing action is
most appropriate at this time?
1. The nurse decides not to administer the
medication.
2. The nurse initiates the ordered, forced medication
protocol.
3. The nurse initiates legal action to get the client
declared incompetent.
4. The nurse teaches the client the pros and cons
of medication compliance.
13. A client has been deemed a danger to self by an
emergency commitment court ruling. Which might
the court mandate for this client?
1. Voluntary commitment to a locked psychiatric
facility.
2. Involuntary commitment to an outpatient mental
health clinic.
3. Declaration of incompetence with mandatory
medication administration.
4. Declaration of emergency seclusion.
14. A group of inpatient psychiatric clients on a public
elevator begin discussing an out-of-control client
who is now in seclusion. Which is the appropriate
nursing response?
1. “I know you are upset by the conflict on the unit.
I’m glad you can talk about it.”
2. “Now you know what happens when you can’t
control your temper.”
3. “It is inappropriate to discuss another client’s
situation in public.”
4. “Let’s just not talk about this now.”
15. A newly employed psychiatric nurse answers the
desk phone and tells the caller that he or she will be
connected to the unit phone to speak to the requested client. With which legal action may the
nurse be charged?
1. Breach of confidentiality
2. Battery
3. Assault
4. Defamation of character