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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Lorazepam, a benzodiazepine, is the first-line treatment for moderate to severe alcohol withdrawal. It reduces CNS hyperactivity, prevents seizures, and stabilizes vital signs.
Choice B reason: Disulfiram is used for long-term abstinence by inducing aversive reactions to alcohol. It is contraindicated during acute withdrawal due to risk of worsening symptoms.
Choice C reason: Naltrexone is used for relapse prevention by reducing cravings. It is not appropriate during withdrawal and may precipitate symptoms if opioids are present.
Choice D reason: Haloperidol may be used for agitation or hallucinations but does not address the autonomic instability of withdrawal. It is not a primary treatment for tremors or elevated vitals.
Correct Answer is D
Explanation
Choice A reason: Progressive muscle relaxation may help reduce anxiety, but it requires a level of cognitive and emotional awareness that may be challenging for children with autism who struggle with emotional expression.
Choice B reason: Guided imagery is a cognitive strategy that may be difficult for children with autism due to challenges with abstract thinking and imagination.
Choice C reason: Extended play sessions with peers may be overwhelming or counterproductive for children with autism, especially if they have difficulty with social reciprocity or sensory processing.
Choice D reason: Art therapy is a developmentally appropriate and evidence-based intervention that allows children with autism to express emotions nonverbally, supporting emotional regulation and communication.
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