A nurse is speaking to a former high school friend who asks about a hospitalized classmate. Which of the following responses by the nurse is appropriate?
"I cannot discuss the care of anyone who might be hospitalized."
"You should contact the hospital to see if she has been admitted."
"I think you should contact the high school for information."
"She’s doing okay, but I can’t give details."
The Correct Answer is A
Choice A reason: This response upholds HIPAA and nursing ethical standards by refusing to confirm or deny any information about a client. It protects confidentiality fully.
Choice B reason: Suggesting contact with the hospital may indirectly confirm the person is hospitalized, breaching confidentiality.
Choice C reason: Redirecting to the high school is irrelevant and does not address the confidentiality concern appropriately.
Choice D reason: Offering any information, even vague reassurance, violates confidentiality and professional boundaries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hospice care is intended for clients with terminal illnesses and focuses on end-of-life comfort, not caregiver relief for chronic conditions like dementia.
Choice B reason: Cognitive enhancement therapy is a structured intervention for clients, not a support service for caregivers needing rest. It does not address the caregiver’s immediate need for relief.
Choice C reason: Respite care provides temporary relief for caregivers by offering short-term care for the client. It can be delivered in-home, through adult day programs, or in residential settings, making it the most appropriate recommendation.
Choice D reason: Long-term psychiatric hospitalization is reserved for clients with severe psychiatric conditions requiring intensive treatment. It is not a resource for caregiver breaks and would be inappropriate unless the client had acute psychiatric needs.
Correct Answer is C
Explanation
Choice A reason: Innocent murmurs are typically soft, short, and systolic, and they do not present as harsh or pansystolic. They are also not localized to the lower left sternal border.
Choice B reason: Patent ductus arteriosus produces a continuous "machinery-like" murmur, usually heard best at the upper left sternal border, not the lower left.
Choice C reason: Ventricular septal defect (VSD) classically presents as a harsh, pansystolic murmur heard best at the lower left sternal border due to turbulent flow across the septal defect.
Choice D reason: Atrial septal defect typically produces a systolic murmur at the upper left sternal border and may be accompanied by a fixed split of the second heart sound, not a pansystolic murmur.
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