A nurse assesses that a depressed patient is lethargic during the day and does not actively participate in unit activities. The notes from the night shift document that the patient did not sleep well. The most probable interpretation of these data is

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The duty to warn a third party exists when a client threatens harm to that identifiable third party; the client's confidentiality is overridden. Answer choices A, C, and D are not situations in which confidentiality may be breached. Decisions about the duty to warn third parties usually are made by psychiatrists or by qualified mental health therapists in outpatient settings. It is not permissible for a nurse to breach confidentiality at any time a client is threatening, or becomes aggressive or violates the nurse's boundaries.

Correct Answer: D

Rationale: The nurse respects the client's autonomy through client's rights, informed consent, and encouraging the client to make choices about his or her health care. The nurse has a duty to take actions that promote the client's health (beneficence) and that do not harm the client (nonmaleficence). The nurse must treat all clients fairly (justice), be truthful and honest (veracity), and honor all duties and commitments to clients and families (fidelity).

Correct Answer: A

Rationale: The nurse must balance patient confidentiality with the need for team communication. Option A respects the patient’s privacy while clarifying that staff collaboration is necessary for care, aligning with ethical and legal standards. Option B inaccurately suggests total secrecy, Option C delays clarity and erodes trust, and Option D blurs boundaries by suggesting a mutual problem-solving relationship.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.