Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

When a patient expresses the desire to disclose an affair to their partner, the most appropriate action for a registered psychiatric nurse is to help the patient plan the disclosure. This approach supports the patient in navigating a potentially complex and emotionally charged situation while maintaining the nurse’s professional role. By assisting the patient in planning the disclosure, the nurse can facilitate a thoughtful and considerate discussion, allowing the patient to express their feelings, assess the potential outcomes, and determine the best way to communicate this sensitive information. This support empowers the patient to take responsibility for their actions and encourages open communication with their partner, which is crucial in maintaining integrity in relationships. The other approaches, such as sharing personal relationship stories or advising against sharing the information, could blur professional boundaries and might hinder the patient's decision-making process. Engaging directly with the partner would violate patient confidentiality and trust, which are essential to the therapeutic relationship. Therefore, helping the patient plan their disclosure is a strategic and respectful method that upholds ethical nursing practices while promoting the patient's autonomy.