A 22-year-old client is admitted to the hospital in diabetic ketoacidosis (DKA). The client's parent is insisting on knowing the laboratory test results. Which is the best response for the nurse to provide?
"The healthcare provider will share this information with you."
"I can only give medical information to your child because the client is an adult."
"I'm sorry, but your child's medical information is none of your business."
"I can give you those results as soon as I get them back from the lab."
The Correct Answer is B
Choice A reason: Deferring to the provider does not address the confidentiality issue; it suggests the nurse is unwilling rather than clarifying the legal obligation to protect an adult client’s health information.
Choice B reason: By stating that only the client can authorize release of their own medical data, the nurse accurately reflects HIPAA and patient‑privacy regulations for an adult. This response both informs the parent and upholds the client’s right to confidentiality.
Choice C reason: This response is inappropriate and unprofessional. It fails to acknowledge the parent's concern and does not provide a constructive way to address the situation.
Choice D reason: While this response may seem helpful, it is not the nurse's role to promise lab results, especially when there are privacy laws that restrict the sharing of medical information with anyone other than the patient unless consent has been given.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While nutrition is important, a high-protein diet is not specific to the management of heart failure.
Choice B reason: Weighing every morning allows for monitoring of fluid retention, which is a key aspect of managing heart failure.
Choice C reason: Range of motion exercises are good for overall health but are not specific to heart failure management.
Choice D reason: Limiting fluid intake is important, but it is more critical to monitor weight daily to detect fluid retention early.
Correct Answer is D
Explanation
Choice A reason: Asking if there is a particular reason why the parent thinks it's their fault may inadvertently validate feelings of self-blame, which is not helpful in this sensitive situation.
Choice B reason: While reassuring the parent they did nothing wrong is true, it may not address the emotional support the parent needs at this moment.
Choice C reason: Promising a full recovery with surgery may be misleading and give false hope, as outcomes can vary and myelomeningocele often results in some degree of impairment.
Choice D reason: Acknowledging the parent's feelings and the difficulty of the situation provides emotional support and validation without assigning blame or making promises about the outcome.
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