A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

"The facility is unable to release your records."

"You must submit a written request before you can receive a copy."

"What are you planning on doing with your medical record?"

"I will make a copy of your medical records right away."

Answer and Explanation

The Correct Answer is B

Choice A Reason:
Stating that the facility is unable to release the records, may not be accurate. Facilities typically have processes in place for releasing medical records upon request, although they may require written authorization.
Choice B Reason:
"You must submit a written request before you can receive a copy." This statement is correct. In most healthcare facilities, patients are required to submit a written request to obtain copies of their medical records. This process ensures that proper documentation is maintained and helps protect patient confidentiality and privacy. Additionally, providing medical records without proper authorization could violate healthcare privacy laws such as HIPAA (Health Insurance Portability and Accountability Act).
Choice C Reason:
Asking about the client's intentions with the medical record, is not appropriate as it could be seen as intrusive. Patients have the right to access their medical records for various purposes, and their intentions may not be relevant to fulfilling the request.
Choice D Reason:
Agreeing to make a copy of the medical records right away, is not the correct response without proper authorization. Making copies of medical records without following established procedures could lead to legal and ethical issues.

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Correct Answer is B

Explanation

A.Abiteblockisnottypicallyneededforaclientwithdysphagia,asitismorecommonlyusedinsituationswheretheairwayneedstobeprotected,suchasduringseizuresorcertaindentalprocedures.

B. A Yankauer suction device should be readily available for a client with dysphagia. Dysphagia increases the risk of aspiration, which can lead to choking or pneumonia. A Yankauer suction device allows for oral suctioning to clear secretions or food particles from the mouth and airway to help prevent aspiration and maintain a patent airway.

C. While large-handled utensils may be helpful for clients with limited dexterity or mobility (such as those with arthritis), they are not essential equipment for managing dysphagia.

D. Nasal cannula and oxygen: Oxygen therapy is not a routine intervention for dysphagia unless the client has respiratory complications that require supplemental oxygen. While aspiration can lead to respiratory issues like aspiration pneumonia, a nasal cannula and oxygen are not immediate necessities in the room for a client with dysphagia.

A. Provide volunteers who will run errands for her. B. Send a clinician to assess the safety of leaving her partner alone. C. Allow her to take time off from attending to her partner. D. Help her arrange transferring her partner to an assisted living facility.

Correct Answer is C

Explanation

Choice A Reason:
Provide volunteers who will run errands for her is incorrect. While respite care services may offer some assistance with errands or tasks, the primary purpose of respite care is to provide temporary relief and support to caregivers by allowing them to take a break from their caregiving responsibilities.
Choice B Reason:
Sending a clinician to assess the safety of leaving her partner alone is incorrect. While ensuring the safety of the client is important, assessing the safety of leaving the partner alone does not directly relate to respite care. Respite care focuses on providing temporary relief to caregivers rather than assessing the client's ability to be left alone.
Choice C Reason:
Allowing her to take time off from attending to her partner is correct. Respite care provides caregivers with the opportunity to take a break from their caregiving responsibilities and attend to their own needs, whether it's for rest, relaxation, or attending to personal matters. It allows caregivers to recharge and prevent burnout.
Choice D Reason:
Helping her arrange transferring her partner to an assisted living facility is incorrect. Respite care is not typically intended to assist with arranging long-term care options such as transferring a partner to an assisted living facility. It focuses on providing short-term relief for caregivers, allowing them to continue providing care in their own homes.

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A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

Correct Answer is B

Explanation

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

Correct Answer is C

Explanation

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