A client is concerned that information given to the nurse remains confidential. Which is the nurse’s best response regarding confidentiality?

All your information is confidential and will be kept just between us.

I will share information with the staﬀ members only with your approval.

Some things like suicidal thinking must be reported to the treatment team.

You must select who I can discuss your care with.

Answer and Explanation

The Correct Answer is C

Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.

Option (a) is incorrect because not all information can remain confidential.

Option (b) is incorrect because not all information requires the client's approval to share.

Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.

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Correct Answer is D

Explanation

This response is open-ended and non-judgmental, allowing the client to reﬂect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.

Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.

Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.

Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.

A. The client will make statements that he feels less depressed by the end of the first day of admission. B. The client will express and demonstrate increases in energy by the third day of admission. C. The client will reduce self-rating on the depression scale by 10% by the second day of admission. D. The client will demonstrate increased interaction with other clients by discharge.

Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

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A client is concerned that information given to the nurse remains confidential. Which is the nurse’s best response regarding confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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