A nurse is speaking with a visitor who asks a question about the status of a relative who is a client on the unit. Which of the following responses by the nurse is appropriate?

"Please ask your relative about this, because I cannot share information about her."

"I'm not taking care of your relative today, so I don't have the latest information."

"I will have your relative's nurse come and talk with you about her care."

"Let me check your relative's medical record to see how she's doing."

Answer and Explanation

The Correct Answer is C

Choice A reason: This response is inappropriate because it violates the client's right to privacy and confidentiality. The nurse should not disclose any information about the client to anyone without the client's consent, unless it is required by law or for the client's safety.

Choice B reason: This response is inappropriate because it shows a lack of accountability and professionalism. The nurse should not dismiss the visitor's concern or pass the responsibility to another nurse. The nurse should either provide the information if they have it or direct the visitor to the appropriate source.

Choice C reason: This response is appropriate because it respects the client's privacy and confidentiality, while also addressing the visitor's concern. The nurse should inform the visitor that they will contact the nurse who is taking care of the client and ask them to come and talk with the visitor.

Choice D reason: This response is inappropriate because it violates the client's privacy and confidentiality. The nurse should not access the client's medical record without a valid reason or the client's consent. The nurse should only check the medical record if they are involved in the client's care or have a need to know the information.

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Correct Answer is B

Explanation

Choice A reason: Decreased cost-effectiveness is not an outcome of critical pathway use, but rather an outcome of poor quality care. Critical pathways are designed to improve the quality and efficiency of care by reducing unnecessary costs and resources.

Choice B reason: Decreased care delays is an outcome of critical pathway use, as it reflects the timely and coordinated delivery of care. Critical pathways are evidence-based plans that outline the expected course of care and outcomes for a specific client population.

Choice C reason: Increased length of stay is not an outcome of critical pathway use, but rather an outcome of ineffective or inappropriate care. Critical pathways are intended to shorten the length of stay by optimizing the care process and preventing complications.

Choice D reason: Increased variation in clinical interventions is not an outcome of critical pathway use, but rather an outcome of inconsistent or individualized care. Critical pathways are meant to standardize the clinical interventions based on the best available evidence and practice guidelines.

A. "The clinicians help reduce the severity of your wife's physical problems." B. "This service delivers meals and supplies to reduce your errands away from home." C. "It makes it possible for you to have some time away from caring for your wife." D. "This service offers psychological interventions during and after your wife's illness."

Correct Answer is C

Explanation

Choice A reason: This is not the correct choice because this response is inaccurate and misleading. Respite services do not provide medical care or treatment for the client, but rather temporary relief and support for the family caregivers. The nurse should not give false hope or unrealistic expectations to the client's partner.

Choice B reason: This is not the correct choice because this response is incomplete and vague. Respite services may include some practical assistance such as meal delivery or housekeeping, but their main purpose is to provide emotional and social support for the family caregivers. The nurse should explain how respite services can help the client's partner cope with the stress and challenges of caregiving.

Choice C reason: This is the correct choice because this response is accurate and clear. Respite services can provide the client's partner with some time off from their caregiving duties, which can help them recharge their energy, attend to their own needs, and maintain their well-being. The nurse should emphasize the benefits of respite services for the client's partner and their relationship with the client.

Choice D reason: This is not the correct choice because this response is confusing and irrelevant. Respite services do not offer psychological interventions for the client or the family, but rather companionship and support. The nurse should not imply that the client's partner needs therapy or counseling, which may be perceived as judgmental or insensitive.

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A nurse is speaking with a visitor who asks a question about the status of a relative who is a client on the unit. Which of the following responses by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use?

Correct Answer is B

Explanation

A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from respite services. When the client's partner asks how this service can help, which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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