The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?
"What we say can be secret. What I write in the chart is available to the health team."
"I am required to report any intent to hurt yourself or others."
"Conversations between patient and nurse are confidential."
"I can't help you unless you trust me."
The Correct Answer is B
A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase activity to promote mobility. While moderate activity is beneficial, excessive activity can exacerbate symptoms of SLE.
B. Increase exposure to the sun to increase vitamin D absorption. Sun exposure can trigger lupus flares, so it should be minimized.
C. Increase sodium consumption. Increased sodium intake is not recommended as it can lead to hypertension, a common concern in SLE patients.
D. Maintain a balance between rest and activity. Balancing rest and activity helps manage fatigue and prevent symptom exacerbation in SLE.
Correct Answer is D
Explanation
A. Monitor for signs of seizure activity: Seizure activity is not directly related to the condition described.
B. Increase the IV rate and monitor for burn shock: Increasing the IV rate could exacerbate fluid overload; burn shock is more of a concern in the initial hours post-burn.
C. Raise the foot of the bed and apply blankets. This is not relevant to addressing the issue of large urine output.
D. Assess for signs of fluid overload: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.
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