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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) "Aren't you interested in learning how to perform this test?" - This response may come across as judgmental and may not encourage open communication.
B) "Let's talk about what you're thinking." - This response acknowledges the client's distraction and opens the door for the client to express their thoughts or concerns.
C) "I'll discuss this with your partner instead." - This response dismisses the client's involvement in their own care and does not address the client's distraction.
D) "Is this something you think you can do?" - This response focuses on the client's ability to perform the task rather than addressing their distraction or concerns.
Correct Answer is B
Explanation
A. The nurse should stand on the client’s weaker side (left side) to provide support and stability during the transfer. Standing on the stronger side offers less assistance and increases the risk of falls.
B. When assisting a client with left-sided weakness to transfer from bed to chair, the nurse should use proper body mechanics to protect both the client and self.Flexing the hips and knees allows the nurse to use the leg muscles (strongest muscles) rather than the back, reducing risk of injury. This position also provides stability and balance, allowing controlled movement as the client stands.
C. Raise the bed to waist level before moving the client- Adjusting the bed height can facilitate the transfer process, but it is not directly related to the client's left-sided weakness.
D. Pivot on the foot farthest from the bed when assisting the client into the chair- Pivoting on the foot farthest from the bed allows for a smooth and controlled transfer motion but does not address the client's left-sided weakness specifically.
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