An elderly client who has been diagnosed with delusional disorder for many years is exhibiting early symptoms of dementia. His daughter lives with him to help him manage daily activities, and he attends a day care program for seniors during the week while she works. A nurse at the day care center hears him say, “If my neighbor puts up a fence, I'll blow him away with my shotgun. He has never respected my property line, and I've had it!” Which of the following actions should the nurse take?
1. Observe the client more closely, but do not report his threat since he will likely not be able to follow through with it because of his dementia.
2. Report the comment to the client's daughter so she can observe him more closely, but refrain from telling the neighbor due to privacy regulations.
3. Report the comment to the neighbor, the intended victim, but refrain from telling the daughter since she will just worry about actions of her father she cannot control.
4. Report the comment to the neighbor, the daughter, and the police since there is the potential for a criminal act.
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