When a client requests a copy of the therapist's notes, what should the nurse respond?

In the context of a client's request for a copy of therapist notes, the appropriate response is that while the client can access their medical records, therapist notes are generally considered to be part of the psychotherapy process and are usually protected under confidentiality laws. Therefore, these notes are not typically included when providing clients with their medical records.

Therapist notes often contain sensitive information that is intended for the therapist's use only and can include personal observations, interpretations, and treatment plans that are not fully understood outside of the therapeutic context. Granting access to such detailed notes might compromise the therapeutic relationship and the client's ability to discuss their feelings openly in therapy.

This response respects the legal and ethical frameworks governing mental health documentation, ensuring that clients receive access to their own health information while also protecting the integrity and confidentiality required in mental health treatment.