A nurse is reinforcing teaching about confidentiality with a client. Which of the following statements should the nurse include in the teaching?
"Your nurse will provide information about the risks and benefits of surgical procedures."
"Only health care staff providing care will see your medical record."
"The provider must grant you access to your personal health information."
"You have to authorize our providers to prescribe treatments for your condition."
The Correct Answer is B
A. "Your nurse will provide information about the risks and benefits of surgical procedures.": This statement relates to informed consent and patient education rather than confidentiality. While important for care, it does not address the privacy of the client’s medical information.
B. "Only health care staff providing care will see your medical record.": Confidentiality ensures that a client’s personal health information is protected and only accessed by authorized personnel involved in their care. Emphasizing this reassures the client that their information is safeguarded and not shared inappropriately.
C. "The provider must grant you access to your personal health information.": Clients have a legal right to access their own medical records without requiring provider permission, according to HIPAA regulations. Denying access misrepresents patient rights.
D. "You have to authorize our providers to prescribe treatments for your condition.": Authorization to prescribe treatment is part of consent and care planning, not confidentiality. This statement does not inform the client about how their personal health information is protected or shared.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check the client's heart rate on the oximeter: While the oximeter displays heart rate, this action does not address the primary concern of hypoxemia. Heart rate alone cannot determine whether the client’s oxygenation is adequate or if further intervention is needed.
B. Compare the result with the baseline reading: Comparing the current SpO2 of 88% with the client’s baseline oxygen saturation helps determine the severity of hypoxemia and guides clinical decisions. This step is essential before adjusting oxygen therapy or notifying the provider, ensuring interventions are appropriate and individualized.
C. Decrease the amount of oxygen administered: Reducing supplemental oxygen in a client with a saturation of 88% would worsen hypoxemia and risk tissue hypoxia. Oxygen titration should aim to maintain safe saturation levels, usually above 92% for most adults, unless otherwise prescribed.
D. Perform another reading while the client ambulates: Ambulating may further decrease oxygen saturation in a hypoxemic client and does not provide useful information before addressing the low SpO2. Assessment and stabilization should occur first to prevent adverse events.
Correct Answer is ["C","D"]
Explanation
A. Basketball: Basketball is a high-impact, contact sport that involves frequent running, jumping, and potential collisions with other players. Children with hemophilia are at increased risk for joint and soft tissue bleeding from trauma, so participation in basketball is not recommended.
B. Gymnastics: Gymnastics involves tumbling, jumping, and apparatus use, which can lead to falls and injuries. These activities carry a high risk of trauma-induced bleeding for children with hemophilia, making it an unsafe choice.
C. Swimming: Swimming is a low-impact sport that promotes cardiovascular fitness, muscle strength, and joint mobility without significant risk of trauma. Water-based activities are safe for children with hemophilia, providing exercise benefits while minimizing bleeding risk.
D. Golf: Golf is a non-contact, low-impact sport that allows children to participate safely without high risk of injury. It promotes coordination, concentration, and mild physical activity without placing stress on joints or increasing the likelihood of bleeding.
E. Soccer: Soccer is a contact sport with frequent running, collisions, and potential falls, increasing the risk of bleeding in joints and muscles. For children with hemophilia, soccer is generally considered unsafe due to the high potential for injury.
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