A nurse is caring for an adult client who was involuntarily admitted following a suicide attempt. The nurse receives a call from the client's partner asking for a status report. Which of the following responses should the nurse make?
"I can give you a list of your partner's medications because they attempted suicide."
"Because you are married, you have the right to request a copy of your partner's medical record."
"I cannot discuss your partner's health information with you without their consent."
"Because your partner was involuntarily admitted for treatment, their provider can answer your questions."
The Correct Answer is C
Choice A reason:
Disclosing medication information without the client’s consent violates confidentiality and privacy regulations. A suicide attempt does not automatically authorize disclosure of protected health information to family members.
Choice B reason:
Marriage alone does not grant automatic access to a client’s medical records. Written consent from the client is required unless the partner has legal authority such as healthcare power of attorney.
Choice C reason:
Clients retain the right to confidentiality regardless of involuntary admission status. Health information may not be shared without the client’s explicit consent unless there is a legal exception. This response appropriately protects the client’s privacy and complies with ethical and legal standards.
Choice D reason:
Involuntary admission does not remove confidentiality rights. Referring the partner to the provider does not justify disclosure and may imply that information can be shared, which is misleading.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Assigning the same staff promotes consistency, trust, and therapeutic rapport. Clients with PTSD often struggle with hypervigilance and mistrust. Familiar caregivers reduce anxiety, provide stability, and help the client feel safe, which is essential for recovery.
Choice B reason: Allowing privacy during flashbacks is unsafe. Flashbacks can cause disorientation, panic, or self-harm behaviors. The nurse should remain present to provide grounding techniques and reassurance, ensuring the client’s safety during these episodes.
Choice C reason: Discouraging expression of trauma feelings is harmful. Clients with PTSD benefit from therapeutic communication and opportunities to process their experiences. Suppressing emotions can worsen symptoms and hinder recovery.
Choice D reason: Addressing the client in an authoritative manner increases anxiety and can trigger trauma responses. PTSD clients require calm, respectful, and supportive communication to avoid re-traumatization.
Correct Answer is C
Explanation
Choice A reason: Selective inattention occurs in moderate anxiety, where the client begins to block out or ignore certain stimuli due to difficulty focusing. It is not characteristic of mild anxiety, where awareness is still intact.
Choice B reason: Urinary frequency is a physical manifestation of severe anxiety due to autonomic nervous system activation. It is not expected in mild anxiety.
Choice C reason: Sharpened perceptions are characteristic of mild anxiety. The client is more alert, attentive, and able to focus better on the environment. Mild anxiety can enhance problem-solving and concentration.
Choice D reason: Voice tremors are associated with moderate to severe anxiety, where physiological symptoms become more pronounced. They are not typical of mild anxiety.
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