A nurse is providing care for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

"Provided you signed a directive on admission, your records will not be made public."

"Privacy legislation ensures that your medical records will not leave this hospital."

"The law protects your right to confidentiality and health information from being released into unintended hands."

"Anything that is discussed between us is confidential and will not be shared with anyone else."

Answer and Explanation

The Correct Answer is C

A. "Provided you signed a directive on admission, your records will not be made public."

This response may not be entirely accurate or reassuring for the client. While directives or forms signed upon admission might address aspects of confidentiality or consent, they typically pertain to specific legal or medical procedures rather than general confidentiality protections. Additionally, stating that records "will not be made public" might oversimplify the issue, as confidentiality extends beyond just making records public and involves safeguarding information from unauthorized access or disclosure.

B. "Privacy legislation ensures that your medical records will not leave this hospital."

While privacy legislation does indeed protect the confidentiality of medical records, this response might be overly restrictive or misleading. Confidentiality protections extend beyond the physical location of the hospital and involve various legal and ethical standards governing the handling and disclosure of health information. The statement could give the impression that the client's information is completely confined within the hospital, whereas confidentiality extends to all interactions involving healthcare providers, insurers, and others involved in the client's care.

C. "The law protects your right to confidentiality and health information from being released into unintended hands."

This response accurately conveys the essence of confidentiality protections under the law. It reassures the client that their health information is safeguarded against unauthorized disclosure and emphasizes the importance of confidentiality in healthcare. By mentioning "unintended hands," it underscores the broader scope of confidentiality beyond just making information public. This response is likely to provide the client with a sense of security regarding the privacy of their medical information.

D. "Anything that is discussed between us is confidential and will not be shared with anyone else."

While this response emphasizes the confidentiality of discussions between the nurse and the client, it might oversimplify the issue. Confidentiality in healthcare extends beyond verbal exchanges and encompasses all forms of health information, including medical records, test results, and treatment plans. While it is essential for the client to understand that their conversations with healthcare providers are confidential, they should also be aware of broader confidentiality protections governing their health information within the healthcare system.

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Correct Answer is B

Explanation

A. "This understanding will help your clients stay younger longer and delay the onset of old age.": While understanding the aging process can inform strategies for healthy aging, it is unrealistic to suggest that it will prevent aging altogether or delay its onset significantly. This response may create unrealistic expectations and is not entirely accurate.

B. "It is important to know what happens to help your clients engage in more positive health practices.": This response is appropriate because understanding the aging process allows nurses to educate clients about age-related changes and promote behaviors that support healthy aging. It emphasizes the importance of knowledge in facilitating positive health practices among older adults.

C. "It is crucial so you can help your clients learn to accept their limitations.": While acceptance of limitations is part of adapting to aging, it is not the primary reason for understanding the aging process. This response does not fully capture the breadth of knowledge needed to support older adults' health and well-being.

D. "It is important because it will help your clients live longer with their long-term disabilities.": While understanding aging can help nurses support clients with disabilities, the primary goal is to promote overall well-being and quality of life rather than simply prolonging life with disabilities. This response focuses narrowly on disabilities rather than the broader aspects of aging.

A. Maximum breathing and vital capacity have diminished since the previous studies. B. Accumulation of serous fluid is seen between the lungs and the pleural membrane. C. The lungs are smaller than younger adults' and there are fewer alveoli. D. The client has fewer cilia than would be found in a younger client.

Correct Answer is A

Explanation

A. Maximum breathing and vital capacity have diminished since the previous studies.

This finding suggests a decline in lung function compared to previous assessments, which could indicate a pathological process rather than normal age-related changes. Diminished breathing capacity may be indicative of conditions such as pneumonia, chronic obstructive pulmonary disease (COPD), or other respiratory disorders.

B. Accumulation of serous fluid is seen between the lungs and the pleural membrane.

The accumulation of serous fluid between the lungs and the pleural membrane is consistent with pleural effusion, which is a pathological condition rather than a normal age-related change. Pleural effusion can occur due to various causes, including infection, inflammation, heart failure, or malignancy.

C. The lungs are smaller than younger adults' and there are fewer alveoli.

This option describes normal age-related changes in the respiratory system. With aging, the lungs may undergo structural changes such as decreased elasticity and fewer alveoli, leading to reduced lung capacity and efficiency. While this finding is typical of aging, it does not necessarily indicate a pathological process.

D. The client has fewer cilia than would be found in a younger client.

A reduction in cilia is associated with aging and is considered a normal age-related change. Cilia are hair-like structures in the respiratory tract that help remove mucus and debris. While decreased ciliary function may contribute to respiratory infections in older adults, it is not necessarily indicative of a specific pathological process.

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A nurse is providing care for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

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Naxlex Comprehensive Predictor Exams

A gerontological nurse is conducting a program for a group of nurses who work with older adults. During the program, one of the nurses asks, "Everybody gets old. Why do we need to understand the aging process?" Which response by the nurse would be appropriate?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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