A client diagnosed with terminal cancer says, “I’m going to die, and I wish my family would stop hoping for a cure. I get so angry when they carry on like this.
After all, I’m the one who’s dying.”. Which response by the nurse is therapeutic?

Choice A rationale
Recording the circumstances and possible reasons for the incident is an appropriate action when filing a safety event report. It provides a detailed account of what happened, which is essential for understanding the incident and preventing future occurrences.
Choice B rationale
Providing minimal information about the incident is not appropriate. A safety event report should be thorough and include all relevant details to ensure that the incident is fully understood and addressed.
Choice C rationale

Completing the report 72 hours after the incident is not appropriate. Safety event reports should be completed as soon as possible after the incident to ensure that all details are accurately recorded.
Choice D rationale
Including suggestions on how to prevent future incidents is not typically part of the safety event report. The report should focus on documenting the incident itself, while recommendations for preventing future incidents can be addressed separately.

Choice A rationale
Asking the family member to provide identification does not ensure that the caller is authorized to receive patient information. Even with identification, the nurse cannot verify the caller’s relationship to the patient or their authorization to access confidential information.
Choice B rationale
Not providing any information over the phone is the correct action to protect patient confidentiality. Healthcare providers must ensure that patient information is only shared with authorized individuals, and phone calls do not provide a secure method for verifying the caller’s identity.
Choice C rationale
Providing only publicly available information is not appropriate, as it still involves sharing patient-related details without proper verification. Any disclosure of patient information, even if minimal, must be done with caution and proper authorization.
Choice D rationale
Informing the family member that they need to visit in person is a better approach, but it still does not guarantee that the individual is authorized to receive patient information. The nurse should follow established protocols for verifying authorization before sharing any details.