A client with a personality disorder tells a nurse, “I want to tell you something, but you must promise to keep it a secret.” Which response could lead to splitting among the staff?
ExplanationB. To gain control, clients often try to split the staff apart, separating the nurse from the rest of the treatment team; confidentiality is not expected to be maintained among professionals caring for a client, because it is detrimental to the client’s therapy.
A. This response reinforces the team approach to care.
C. This response both reinforces the team approach and avoids providing false assurance that the information will be kept secret.
D. This does not provide false assurance that the information will be kept secret