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 A

Explanation

A. Investigate the reasons why the client is not bathing or doing laundry:

Before providing any interventions or suggestions, the nurse should first understand the underlying reasons for the client's neglect of personal hygiene. There could be various factors contributing to this behavior, such as physical limitations, cognitive decline, depression, grief from the recent loss of a spouse, lack of motivation, or environmental barriers. By investigating the root causes, the nurse can tailor interventions and support strategies to address the specific needs and challenges of the client.

B. Offer time-saving bathing tips and advice on easy methods for washing clothes:

While providing tips and advice may be helpful, it's essential to first understand why the client is neglecting personal hygiene to ensure that the suggestions are appropriate and feasible. Without addressing the underlying reasons, offering advice alone may not effectively address the issue.

C. Incorporate the help of the client's family to assist with bathing:

Involving the client's family can be a valuable support strategy, but it should come after understanding the client's individual circumstances and preferences. Additionally, not all clients may have readily available family members to assist with personal care tasks.

D. Explain to the client about the health benefits of keeping clean:

While education about the importance of personal hygiene is essential, it may not be the most immediate or effective intervention if there are underlying barriers preventing the client from maintaining cleanliness. Understanding the client's specific situation should precede any educational efforts to ensure relevance and effectiveness.

A. The client is using this as a means of going home. B. The food served may violate religious beliefs. C. The food served may not be culturally appropriate. D. The client does not like to eat with other residents of the home.

Correct Answer is C

Explanation

A. The client is using this as a means of going home.

While this could be a possibility, it is not the primary concern in this scenario. Assuming this without further evidence may lead to misunderstanding the client's needs and preferences.

B. The food served may violate religious beliefs.

While this could be a concern, the client's statement, "I just do not like the food here," suggests a personal preference rather than a religious restriction. It's important to consider religious beliefs, but it's not the immediate issue raised by the client.

C. The food served may not be culturally appropriate.

This option directly addresses the client's statement about not liking the food. It suggests that the food may not align with the client's cultural preferences, which is a significant factor to consider in understanding the client's refusal to eat. Exploring cultural preferences and providing culturally appropriate meals can help address the client's concerns.

D. The client does not like to eat with other residents of the home.

While social factors may contribute to the client's reluctance to eat, the primary concern expressed by the client is dissatisfaction with the food itself, not with the dining environment or social interactions. While social factors may also need to be addressed, they are not the immediate focus based on the information provided.

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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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Correct Answer is A

Explanation

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?

Correct Answer is C

Explanation

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