A nurse in a provider's office receives a telephone call from a client's sibling requesting current information about the client's condition. Which of the following actions should the nurse take?
Gather additional information from the caller to verify their identity.
Request that the caller contact the client's provider directly for information.
Ask the caller to contact the client directly for information.
Provide the caller with a brief update about the client's condition.
The Correct Answer is C
A. Gather additional information from the caller to verify their identity: Even if the caller's identity is verified, HIPAA regulations prohibit disclosing a client's medical information without the client’s explicit authorization. Verifying identity alone does not grant permission to release confidential health information.
B. Request that the caller contact the client's provider directly for information: Redirecting the caller to the provider does not resolve the issue of confidentiality. Healthcare providers are also bound by HIPAA regulations and cannot release information without proper consent, regardless of who is making the request.
C. Ask the caller to contact the client directly for information: This action respects the client’s privacy and autonomy. Under HIPAA, healthcare professionals may not disclose health information without client authorization. Advising the sibling to speak directly with the client is the appropriate response to safeguard confidentiality.
D. Provide the caller with a brief update about the client's condition: Sharing any health information without the client’s express consent is a violation of HIPAA. Even a brief update constitutes a breach of confidentiality and could result in legal and professional consequences.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "My doctor will choose which medical procedures I will have." A living will allows the client to specify their own wishes regarding medical treatment, rather than leaving decisions solely to the doctor. It is a legal document that guides providers based on the client’s preferences.
B. "I can revise my living will if I change my mind." Clients have the right to update or revoke their living will at any time, reflecting changes in their preferences or health status. This flexibility is an important aspect of advance directives and indicates understanding.
C. "My family can change the decisions in my living will." The family cannot override the client’s living will unless legally appointed as a healthcare proxy. The living will represents the client’s autonomous decisions and must be honored by healthcare providers.
D. "I need an attorney to write my living will." While legal advice can be helpful, clients do not need an attorney to create a living will. Many states provide standardized forms that individuals can complete without legal assistance.
Correct Answer is C
Explanation
A. Repeat each exercise 10 times: Performing passive range of motion exercises 3 to 5 times per joint is usually enough to maintain joint flexibility and prevent stiffness. Repeating the exercises excessively may cause muscle fatigue or irritation, especially in immobile clients. The goal is to promote mobility without causing discomfort or harm.
B. Increase flexion during a muscle spasm: Forcing movement during a muscle spasm can increase pain and potentially cause injury to muscles or joints. The nurse should gently stop the exercise when a spasm occurs and allow the muscle to relax before continuing. Careful, slow movements help prevent exacerbation of muscle spasms.
C. Support each extremity above and below the joint: Supporting the extremity above and below the joint stabilizes the joint and surrounding tissues, reducing the risk of injury during passive movement. This technique also helps control the movement and minimizes discomfort for the client. Proper support is essential for safe and effective passive range of motion exercises.
D. Move the joint just past the point of resistance: Moving a joint beyond the point of resistance can cause tissue damage, pain, and joint injury. The nurse should stop movement at the point of resistance or the onset of discomfort, never forcing further motion. Respecting this limit preserves joint integrity and client safety.
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