A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?

"I will be informing the provider about this conversation."

"You should continue this conversation in a private place."

"It is an invasion of privacy to discuss that information."

"If you are going to talk about a client in public, do not use their name."

Answer and Explanation

The Correct Answer is C

Choice A reason: Informing the provider about the conversation might be necessary if there are concerns about confidentiality breaches, but it does not address the immediate issue of discussing private patient information in a public place. The charge nurse's first responsibility is to stop the inappropriate discussion and remind the staff nurse about the importance of maintaining patient privacy.

Choice B reason: While continuing the conversation in a private place is better than discussing it in a public hallway, the staff nurse should not be discussing private patient information unless it is necessary for the patient's care. The charge nurse should emphasize the importance of confidentiality and ensure that such conversations occur only when necessary and in appropriate settings.

Choice C reason: This response directly addresses the issue of discussing private patient information and reinforces the importance of maintaining confidentiality. By stating that it is an invasion of privacy to discuss the information, the charge nurse makes it clear that such conversations are inappropriate and should not occur.

Choice D reason: Telling the staff nurse not to use the client's name in public discussions misses the broader point about confidentiality. Even without using a name, discussing specific details about a patient's condition or admission can still breach their privacy. The charge nurse should emphasize the importance of not discussing patient information in public settings at all.

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Correct Answer is A

Explanation

Choice A reason: Hypokalemia, or low potassium levels in the blood, is a common finding in individuals with bulimia nervosa, especially those who engage in frequent vomiting or use laxatives. Purging behaviors can lead to significant electrolyte imbalances, including potassium depletion, which can cause muscle weakness, cramps, and cardiac arrhythmias. Monitoring potassium levels is crucial in managing the health of individuals with bulimia nervosa.

Choice B reason: Leukopenia, or a low white blood cell count, is not typically associated with bulimia nervosa. While malnutrition and other complications of eating disorders can affect the immune system, leukopenia is more commonly linked to conditions such as infections, autoimmune disorders, or certain medications.

Choice C reason: Decreased serum amylase is not a typical finding in bulimia nervosa. In fact, elevated serum amylase levels are more commonly observed due to the stress on the salivary glands from frequent vomiting. Hyperamylasemia can be an indicator of purging behaviors and should be monitored in individuals with bulimia nervosa.

Choice D reason: Hematuria, or the presence of blood in the urine, is not commonly associated with bulimia nervosa. While hematuria can result from various conditions, including urinary tract infections, kidney stones, or other renal issues, it is not a typical finding in individuals with bulimia nervosa.

A. Low tolerance for frustration. B. Involved in community activities. C. Submissive personality. D. Absence of impulsive behaviors.

Correct Answer is A

Explanation

Choice A reason: Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing their frustration may be more likely to react impulsively and aggressively when faced with challenging situations. This inability to cope with frustration can lead to abusive behaviors, especially if the individual has not developed healthy coping mechanisms. The stress and demands of parenting can exacerbate these tendencies, increasing the risk of child abuse.

Choice B reason: Being involved in community activities is generally considered a protective factor rather than a risk factor. Participation in community activities can provide social support, reduce isolation, and offer positive role models. These factors can help individuals develop healthier coping strategies and reduce the likelihood of abusive behaviors. Therefore, involvement in community activities is not typically associated with an increased risk of becoming a perpetrator of child abuse.

Choice C reason: A submissive personality is not typically identified as a risk factor for becoming a perpetrator of child abuse. Submissive individuals are more likely to be passive and avoidant rather than aggressive and abusive. While personality traits can influence behavior, a submissive personality does not inherently increase the risk of perpetrating abuse. Other factors, such as a history of abuse, stress, and lack of support, are more relevant in assessing the risk of abusive behavior.

Choice D reason: The absence of impulsive behaviors is not a risk factor for becoming a perpetrator of child abuse. In fact, impulsivity is often associated with a higher risk of abusive behaviors. Individuals who lack impulsive behaviors are generally more capable of controlling their actions and responding to stress in a measured and thoughtful manner. Therefore, the absence of impulsive behaviors is not linked to an increased risk of child abuse.

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A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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