A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
"He is here in the hospital, but I cannot tell you anything else."
"I cannot confirm or deny that we have a client by that name."
"The client's condition is stable right now."
"I will tell him you called."
The Correct Answer is B
A. "He is here in the hospital, but I cannot tell you anything else."- This response respects the client's confidentiality and does not disclose protected health information to unauthorized individuals.
B. "I cannot confirm or deny that we have a client by that name."- This response is evasive and does not provide any useful information.
C. "The client's condition is stable right now."- Disclosing the client's condition without their consent is a violation of confidentiality.
D. "I will tell him you called."- This response breaches the client's confidentiality by confirming their presence in the hospital.
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Related Questions
Correct Answer is C
Explanation
A) "His partner has been visiting." - While social support is important, this information is not essential for the receiving unit's immediate care planning.
B) "He is voiding adequately." - While relevant to the client's overall condition, this information may not be a priority for the receiving unit unless there are specific urinary concerns.
C) "He is allergic to sulfa." - Allergy information is critical for ensuring safe medication administration and should be included in the transfer report.
D) "He appears anxious about the transfer." - While the client's emotional state is important, it may not be the most pertinent information for the receiving unit's immediate care planning.
Correct Answer is C
Explanation
A) Ask the client to state their room number. - Clients with advanced dementia may not reliably remember their room number, and this method may not accurately verify their identity.
B) Have the client state their phone number. - Clients with advanced dementia may not remember their phone number, and it may not be an effective method of identification.
C) Review the client's photograph in the medical record. - Reviewing the client's photograph in the medical record is a reliable way to verify their identity, especially if they do not have an identification band.
D) Request an assistive personnel to identify the client. - While assistive personnel may recognize the client, it's important for the nurse to verify identity through official documentation such as the medical record.
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