A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding?

"The legal requirement for client confidentiality does not apply if the client is deceased."

"Staff members are required to divulge information regarding a client's hospitalization to a client's employer."

Providers are required to warn Individuais if the client threatens harm.

"Health care workers can use client confidentiality for their own legal defense.”

Answer and Explanation

The Correct Answer is C

The statement "Providers are required to warn individuals if the client threatens harm" demonstrates an understanding of the legal exception known as the duty to warn or protect. It means that if a client expresses an intent to harm themselves or others, healthcare providers have a legal obligation to take appropriate actions, which may include notifying potential victims or authorities.

Incorrect:

1.   "The legal requirement for client confidentiality does not apply if the client is deceased." - This statement is incorrect. Client confidentiality extends even after a client's death, and healthcare professionals are still expected to maintain confidentiality regarding the client's health information.
2.   "Staff members are required to divulge information regarding a client's hospitalization to a client's employer." - This statement is incorrect. Healthcare professionals are required to maintain client confidentiality and cannot disclose a client's health information to their employer without the client's explicit consent or as mandated by specific legal requirements.
3.   "Healthcare workers can use client confidentiality for their own legal defense." - This statement is incorrect. Client confidentiality is meant to protect the client's privacy and
maintain trust. It cannot be used by healthcare workers as a defense mechanism in legal matters.

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Correct Answer is C

Explanation

Answer: C

Rationale:

A) Displacement:

Displacement involves redirecting emotions or feelings from the original source to a safer or more acceptable substitute. In this scenario, the client is not redirecting their feelings about their condition onto another person or object, so displacement does not apply.

B) Reaction formation:

Reaction formation is when a person behaves in a way that is opposite to their actual feelings or thoughts to conceal them. The client is not expressing the opposite of their true feelings about their condition; instead, they are downplaying the seriousness of their diagnosis.

C) Denial:

Denial involves refusing to accept reality or facts, thus blocking external events from awareness. By believing that proper diet and exercise alone will make the joint pain go away, the client is refusing to accept the chronic nature of their condition and its long-term implications.

D) Rationalization:

Rationalization involves creating logical reasons or excuses for behaviors or feelings to avoid facing the true reasons. The client is not making excuses or trying to justify their feelings; instead, they are denying the chronic nature of their arthritis, which makes denial the correct defense mechanism in this context.

A. The client trains his mind to relax by using deep inner resources. B. The client learns the source of his stress by writing down daily events. C. The client imagines being in a quiet, relaxing environment. D. The client learns to change negative thoughts into positive statements.

Correct Answer is D

Explanation

Cognitive reframing involves changing negative or unhelpful thought patterns into more positive and constructive ones. By learning to change negative thoughts into positive statements, the client is actively engaging in cognitive reframing. This process helps the client challenge and reframe negative thoughts, replacing them with more positive and adaptive thoughts. By doing so, the client can reduce stress, improve their mood, and approach challenging situations with a more positive mindset. This technique is an effective way to cope with stress and promote emotional well-being.

Incorrect:

A. The client trains his mind to relax by using deep inner resources. This choice refers to relaxation techniques, which can be helpful for stress reduction but are not specifically related to cognitive reframing. Cognitive reframing focuses on changing thought patterns rather than relaxation techniques.

B. The client learns the source of his stress by writing down daily events. While identifying the source of stress can be an important step in stress management, it is not specific to cognitive reframing. Cognitive reframing involves challenging and changing negative thoughts, rather than solely focusing on identifying stressors.

C. The client imagines being in a quiet, relaxing environment. This choice refers to visualization or guided imagery techniques, which can also be helpful for relaxation but are not specifically related to cognitive reframing. Cognitive reframing involves changing thoughts, beliefs, and interpretations, rather than focusing on imagining specific environments.

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A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding?

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Correct Answer is C

Explanation

A nurse is helping a client relieve stress through cognitive reframing. Which of the following actions by the client demonstrates effective use of cognitive reframing?

Correct Answer is D

Explanation

The nurse is caring for a client who has been admitted Involuntarily for psychiatric treatment. Which of the following Information about involuntary commitment should the nurse provide the client's family?

A nurse is caring for a client who reports a state of Increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?

A nurse is caring for an older adult client who has a fractured hip. The client says, "I guess I've lived long enough and my time is up." Which of the following responses should the nurse make?

A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?

A nurse is assisting in the admission process for a client who has a history of violent behavior. The client stands up and begins clenching her fists and arguing with the nurse. Which of the following actions is the priority?

A nurse in a long-term care facility is caring for an older adult client who is anxious and has trouble sleeping at night. Which of the following nursing measures should the nurse implement?

A nurse is planning an Interview for a newly admitted client and plans to Include the client's family members. Which of the following methods should the nurse use to determine who to include in the interview?