A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities. A representative from the client's medical insurance company calls the nurses' station on the phone and asks for the results of the tests. How can the nurse best respond to this request?
Refuse to give the information over the phone.
Give a noncommittal response that "everything is normal" even though it is untrue.
Give the results as they are reported on the laboratory sheet because the insurance company is paying for the test anyway.
Tell the representative that the test results are not back yet.
The Correct Answer is A
A) Refuse to give the information over the phone:
This option respects the patient's confidentiality and is the best course of action. Sharing sensitive medical information over the phone without proper verification and consent is not appropriate.
B) Give a noncommittal response that "everything is normal" even though it is untrue:
Providing false information compromises the integrity of the healthcare professional and can lead to serious consequences if discovered. It's essential to be honest and accurate when sharing medical information.
C) Give the results as they are reported on the laboratory sheet because the insurance company is paying for the test anyway:
Sharing medical information without proper consent, especially over the phone, is a violation of patient privacy and confidentiality. Insurance payment does not negate the need for patient consent and confidentiality.
D) Tell the representative that the test results are not back yet:
If the results are not yet available, it is appropriate to inform the insurance representative truthfully. However, if the results are available, the nurse should not provide them without proper authorization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Collect the data and consider the alternatives: This step involves gathering all relevant information about the situation and identifying possible courses of action. It's essential to have a clear understanding of the problem and the available options before making a decision. However, this is not typically the very first step in the ethical decision-making process, as collecting data often precedes considering alternatives.
Collect, analyze, and interpret the data: This is the correct first step in the ethical decision-making process. It emphasizes the importance of systematically gathering information, analyzing it to identify ethical concerns, and interpreting the data to understand the ethical implications.
Collect data and consider the consequences of the actions: While considering the consequences is a crucial part of ethical decision-making, it usually comes after collecting and analyzing the data. It's important to evaluate the potential outcomes of each alternative once you have a clear grasp of the ethical issues involved.
Collect the data and make a decision: Making a decision is the final step in the ethical decision-making process. While data collection is an essential part of the process, making a decision should follow a careful analysis and consideration of the ethical implications. Jumping straight to a decision without thorough analysis can lead to unethical choices.
Correct Answer is B
Explanation
They are not used extensively in high-level nursing research:This statement is not accurate. Middle-range nursing theories are frequently utilized in nursing research. They provide a bridge between grand theories (which are broad and abstract) and specific nursing practice situations, making them valuable in research settings.
They form the foundation for the current evidence-based practice movement: This statement is accurate. Middle-range nursing theories are often the basis for evidence-based practice. They offer practical frameworks and specific concepts that can be tested and applied in clinical settings, contributing significantly to the development of evidence-based nursing practices.
They do not focus on abstract concepts: This statement is not entirely accurate. While middle-range theories are more specific and focused than grand theories, they can still include abstract concepts. However, these concepts are more directly related to specific nursing phenomena, making them more applicable and tangible for nursing practice.
They are often developed into major nursing theories: This statement is not accurate. Middle-range nursing theories are distinct from major nursing theories. Major nursing theories are broader and more abstract, often encompassing multiple aspects of nursing practice. Middle-range theories, on the other hand, are more focused and specific, addressing particular issues or phenomena within nursing practice.
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