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. Full disclosure deters malpractice suits and negligence claims: While full disclosure of medical options and information is important for ethical and legal reasons, the primary purpose is not solely to deter malpractice suits or negligence claims. Full disclosure is a fundamental aspect of patient-centered care and respects the patient's right to autonomy and informed decision-making.

B. Empowerment has a positive effect on health status: This choice is correct. Empowerment involves providing individuals with the knowledge, skills, and resources they need to make informed decisions about their health. Research has shown that empowering patients to participate actively in their healthcare decisions leads to better health outcomes and overall well-being.

C. The activity theory of aging requires maintenance of lifestyle: The activity theory of aging suggests that older adults should remain active and engaged in activities to maintain a sense of fulfillment and well-being. While staying active is important for healthy aging, it is not directly related to the concept of providing information to older adult clients to empower them in decision-making.

D. Information is an effective strategy for stress management: While providing information and education can certainly help individuals manage stress by promoting a sense of control and understanding, this choice does not directly address the concept of empowering older adult clients to make informed decisions about their care.

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age. B. Simple association is well executed by older adults but complex analysis is normally absent. C. Older adults require simplified learning objectives and slower introduction of new directions D. Successful learning late in life requires a multisensory teaching approach.

Correct Answer is C

Explanation

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age.

This choice suggests that while various factors can affect learning, such as health conditions, medications, and environmental factors, age itself does not significantly alter learning ability. While it is true that older adults can continue to learn and acquire new knowledge, there are often age-related changes in cognitive function, sensory perception, and memory that may impact learning. Therefore, this statement may not fully acknowledge the potential challenges older adults may face in learning new information.

B. Simple association is well executed by older adults but complex analysis is normally absent.

This choice suggests that older adults may excel in simple associative learning tasks but may struggle with more complex analytical tasks. While older adults may have accumulated a wealth of life experiences and knowledge, cognitive changes associated with aging, such as declines in processing speed and working memory, can impact complex problem-solving abilities. However, this statement oversimplifies the capabilities of older adults and does not fully capture the diverse range of cognitive abilities and learning styles among older individuals.

C. Older adults require simplified learning objectives and slower introduction of new directions.

This choice highlights the importance of adapting teaching strategies to meet the specific needs of older adults. As individuals age, there may be changes in cognitive function, sensory perception, and memory that can impact their ability to learn new information. Therefore, simplifying learning objectives and introducing new directions at a slower pace can enhance comprehension and retention of information. This choice acknowledges the need for tailored approaches to accommodate potential age-related challenges in learning.

D. Successful learning late in life requires a multisensory teaching approach.

This choice emphasizes the benefit of utilizing multiple senses in teaching older adults. Multisensory teaching approaches, such as incorporating visual, auditory, and tactile stimuli, can enhance learning and retention of information, especially in individuals with age-related sensory changes. While multisensory approaches can be effective, they are not the only consideration when teaching older adults. Adapting the complexity of content, pacing, and reinforcement strategies are also important factors in facilitating successful learning outcomes for older individuals.

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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?

Nursing Test Bank

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Explanation

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Correct Answer is C

Explanation

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