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. Blepharitis is an inflammation of the eyelid margins, not related to lens elasticity.
B. Nearsightedness (myopia) is difficulty seeing distant objects, not typically age-related.
C. Cataracts involve clouding of the lens, not the loss of elasticity.
D. Presbyopia is the age-related loss of lens elasticity, resulting in difficulty focusing on close objects.
Correct Answer is F
Explanation
A. Insert nasogastric tube: A nasogastric tube may be inserted early to prevent aspiration and manage gastric distension.
B. Initiate fluid therapy: Fluid therapy is crucial and initiated early to combat hypovolemic shock.
C. Insert Foley catheter: A Foley catheter is often inserted early to monitor urine output and assess renal function.
D. Establish airway: Establishing an airway is the highest priority intervention for burn victims, especially if there are signs of inhalation injury.
E. Administer analgesics: Pain management is crucial but is initiated early in the treatment process.
F. Tetanus prophylaxis: Tetanus prophylaxis is important to prevent infection but is typically administered after the immediate life-threatening issues have been addressed.
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