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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Correct Answer is C
Explanation
Offering self is a therapeutic communication technique where the healthcare professional offers their presence, support, and assistance to the patient. By stating that they will stay with the patient until their ECT treatment, the nurse is offering their presence and support to the patient during a potentially stressful and anxiety-provoking time. This technique can help the patient feel more comfortable and supported, which can help build trust and rapport between the patient and the healthcare professional.
Accepting involves acknowledging the patient's feelings and accepting them without judgment. Giving recognition involves acknowledging the patient's efforts and accomplishments. Formulating a plan involves working with the patient to develop a plan of action for addressing their health concerns. None of these techniques are being demonstrated in this scenario.
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