A nurse in a mental health facility is collecting a blood specimen from a client.
The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?.

"I'm using a syringe to obtain your blood, not a snake.”.

"Your provider requires this blood specimen.”.

"You must be mistaken.

Snakes cannot be in the clinic.”.

Answer and Explanation

The Correct Answer is D

(Null)

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Correct Answer is B

Explanation

Choice A rationale:

While pacing can indicate anxiety, this client is not currently a threat to themselves or others.

Choice B rationale:

This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.

Choice C rationale:

Although this client’s behavior is disruptive, it is not immediately dangerous.

Choice D rationale:

This client’s repeated requests indicate anxiety, but they are not in immediate danger.

A. "I can discuss a client's information with staff who have provided care in the past.”. B. "The provider must give consent to discuss health information with the client's family.”. C. "A client retains the legal right to privacy of health information even after they have died.”. D. "A provider may speak to a client's employer regarding a substance use disorder.”.

Correct Answer is C

Explanation

Choice A rationale:

Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.

Choice B rationale:

The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.

Choice C rationale:

This statement is correct. A client retains the legal right to privacy of health information even after they have died.

Choice D rationale:

A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.

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A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?.

Nursing Test Bank

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A nurse in a mental health facility is collecting a blood specimen from a client.
The client is hallucinating and states, "That looks like a snake, and I won't let it take all of my blood.”. Which of the following responses should the nurse make?.