A 16-year-old client asks the nurse conducting the assessment ...

[FButt]

A 16-year-old client asks the nurse conducting the assessment interview Why should I tell you
  anything? You'll just run back and tell my mother whatever you find out.. The best reply for the
  nurse would be
 
  a. That's not true. Whatever you tell me will be held in the strictest confidence..
  b. Your mother may find out what you say, but is that really such a bad thing?
  c. Anything you say about feelings is confidential, but things like suicidal thinking
  must be reported to the treatment team..
  d. It sounds as though you're not really ready to work on your problems and make
  changes..

Question 2

During the initial assessment interview the client becomes anxious and evasive when the nurse asks
  her if she has ever heard voices when no one else was around. The client asks, What do you need to
  know that for? The nurse should say
 
  a. Please be honest about this, after repeating the question.
  b. Sometimes questions seem highly personal, but we have our reasons for asking
  each one..
  c. What purpose do you think we might have in asking about whether you hear
  voices?
  d. I can see this subject makes you uncomfortable. We can discuss it at another
  time..

[jonathanballen97]

Answer to Question 1

ANS: C
The client has a right to know that most information will be held in confidence but that certain
material must be reported or shared with the treatment team, such as threats of suicide, homicide, use
of illegal drugs, or issues of abuse. Option A is not strictly true. Option B will not inspire the
confidence of the client. Option D is confrontational.

Answer to Question 2

ANS: D
The nurse should not try to pry information out of a client who is reluctant to give the information.
The nurse should note the client's reaction to the question and carefully observe for behavioral signs
that the client may be experiencing auditory hallucinations. Option A implies the client has been
dishonest. Option B treats the client in a demeaning fashion. Option C is game playing.

[FButt]

Excellent

[nguyenhoanhat]

Gracias!