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 D
Explanation
Covers services of nurse practitioners: Medicare does cover services provided by nurse practitioners within their scope of practice.
Does not pay full costs of certain services: Medicare often does not cover the full cost of certain services, and beneficiaries are responsible for copayments, deductibles, and sometimes premiums.
Finances a large portion of maternal and clinical care for the poor: Medicare, along with Medicaid, plays a significant role in financing healthcare services, including maternal and clinical care, for low-income individuals and families.
Supplemental insurance is necessary: While Medicare covers a wide range of services, there are gaps in coverage. Many beneficiaries choose to purchase supplemental insurance, also known as Medigap, to help cover the costs that Medicare doesn't, such as copayments and deductibles.
Correct Answer is D
Explanation
The client missed his follow-up appointment:This information is relevant to the client's care, indicating a missed appointment and potential need for rescheduling or follow-up.
The client stopped taking his medications: This is crucial information about the client's medication adherence, which can impact their health outcomes and treatment plan.
The client refused to go to therapy: Documenting the client's refusal of therapy is essential for continuity of care and ensuring that the healthcare team is aware of the client's decisions regarding their treatment.
The nurse thinks the client is hostile: Documenting the nurse's personal opinion about the client being hostile is not appropriate in the client's chart. Objective, observable behaviors should be documented, but subjective judgments or personal opinions about the client's demeanor or attitude should not be included in the chart. It is important to maintain professionalism and objectivity in documentation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.