A nurse is caring for a client who has schizophrenia.
The client's employer calls to discuss the client's condition.
Which of the following is the appropriate nursing action?
Consult the client.
Consult the client's family.
Contact the provider.
Contact the facility legal department.
The Correct Answer is A
The correct answer is Choice A: Consult the client.
Choice A rationale:
Consulting the client is the most appropriate action to respect their privacy and autonomy. It ensures that the client has control over their health information and consents to any disclosures.
Choice B rationale:
Consulting the client's family is not appropriate without the client's explicit permission, as it may violate the client's right to confidentiality.
Choice C rationale:
Contacting the provider may be helpful for clinical guidance, but they cannot disclose the client's health information without the client's consent.
Choice D rationale:
Contacting the facility legal department would be necessary in specific legal situations, but the first step should be to involve the client in the decision-making process to respect their rights.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Older adults are usually diagnosed with depressive disorder as they age.”. This choice is not appropriate because it makes a generalized statement about older adults being diagnosed with depressive disorder as they age. While depression can be more common in older adults due to various factors such as health issues and life changes, it's essential to explore the specific reasons for this particular client's symptoms.
Choice B rationale:
"You shouldn't worry about this because depressive disorder is easily treated.”. This choice dismisses the daughter's concerns and oversimplifies the treatment of depressive disorder. Depression can be a complex condition, and not all cases are easily treated. It's important to take the daughter's worries seriously and assess the client's condition thoroughly.
Choice D rationale:
"Everyone gets depressed from time to time.”. This response minimizes the daughter's concerns by suggesting that depression is a common experience for everyone. While it's true that many people may experience occasional sadness, clinical depression is a different matter and should be addressed with more empathy and attention.
Correct Answer is C
Explanation
Choice A rationale:
The response, "Lots of people feel ashamed to tell their secrets," is not the most therapeutic option because it does not directly address the client's need to discuss their feelings or concerns. It does offer some empathy but falls short in terms of encouraging communication and understanding.
Choice B rationale:
The response, "You will feel better if you tell me what you did last night," may come across as too direct and pressuring, which can be counterproductive in building trust with the client. It may make the client feel even more embarrassed or uncomfortable.
Choice D rationale:
The response, "You shouldn't feel embarrassed to talk to me," attempts to reassure the client but may invalidate their feelings and is not as therapeutic as the correct choice. It's important to acknowledge the client's emotions and provide them with a safe space to open up.
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