A nurse is asked by the family member of a client to access the client's medical record. The nurse is not assigned to this client. Which of the following actions should the nurse take?
Tell the family member to ask the client's provider for access to the client's medical record.
Request identification from the family member before providing the information.
Explain that nurses are not allowed to open the medical records of clients not in their care.
Report the situation to the facility's security personnel.
The Correct Answer is C
A. Tell the family member to ask the client's provider for access to the client's medical record:
The provider cannot give records without client authorization; the nurse should not direct them to the provider for access without proper consent.
B. Request identification from the family member before providing the information:
Even with ID, family members cannot access medical records without the client’s written consent.
C. Explain that nurses are not allowed to open the medical records of clients not in their care:
Accessing a medical record for a client not under your care is a HIPAA violation unless you have a legitimate, assigned role in their care.
D. Report the situation to the facility's security personnel:
This would be necessary only if the family member posed a threat or attempted to access records unlawfully; the priority is to refuse access and explain privacy rules.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A nurse can be charged with libel if she discusses client information in a public area."
This is incorrect-discussing client information in public is a breach of confidentiality (HIPAA violation), not libel.
B. "Documenting negative opinions about a client's personality is considered libel."
Libel is written defamation. Recording subjective, non–care-related negative statements about a client’s personality in the medical record can be considered libel.
C. "Libel is the intentional infliction of emotional distress due to negligent nursing actions."
This describes negligence and emotional harm, not libel.
D. "Failing to complete an incident report following a client injury is an act of libel."
Failure to complete an incident report is an example of poor documentation and policy violation but not libel.
Correct Answer is D
Explanation
A. Schedule III:
Schedule III drugs have moderate to low potential for physical and psychological dependence (e.g., anabolic steroids, ketamine), not as high as morphine.
B. Schedule I:
Schedule I drugs have no accepted medical use and a high potential for abuse (e.g., heroin, LSD), which is not true for morphine.
C. Schedule IV:
Schedule IV drugs have a lower potential for abuse and dependence (e.g., diazepam, zolpidem), not as high as morphine.
D. Schedule II:
Morphine is a Schedule II controlled substance due to its high potential for abuse and risk of severe physical or psychological dependence, but it has accepted medical uses.
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