The patient with schizophrenia tells the nurse of his plans to initiate a fire in the kitchen of the psychiatric department. Which action does the nurse take first?

Report the discussion to the charge nurse. The nurse must ensure the safety of all patients and staff. Therefore, the nurse’s first action is to alert the charge nurse so a plan can be made. The nurse cannot secure the patient based on a verbal threat in the patient’s room without a provider order, since this is considered a restraint. Once the situation is secured, the nurse must document the patient’s statements verbatim, but this is not the first action. The nurse respects the patient’s confidentiality by only telling the patient’s plans to the necessary individuals to ensure safety to the patients and staff in the unit.

The patient with schizophrenia tells the nurse of his plans to in...

NCLEX Practice
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Management of Care
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Category: Management of Care
Difficulty: 6

Topics: Crisis Management Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality Mental Health Disorders

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