A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A young adult client admitted for acute glomerulonephritis following a viral infection

A dependent adult admitted for the treatment of a spiral fracture

A young adult client admitted for asthma and has track marks that may indicate IV drug abuse

An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Answer and Explanation

The Correct Answer is B

Rationale:

A. A young adult client admitted for acute glomerulonephritis following a viral infection does not indicate a mandatory report situation.

B. A dependent adult admitted for the treatment of a spiral fracture suggests potential abuse or neglect. As mandated reporters, nurses are required to report suspicions of abuse or neglect to the appropriate authorities.

C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse does not necessarily require mandatory reporting unless there is evidence of abuse or harm that needs to be reported.

D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment may raise concerns about the minor's capacity to make decisions, but it does not automatically necessitate reporting to an outside agency.

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Correct Answer is A

Explanation

Rationale:

A. Keeping an appointment with a client demonstrates fidelity by honoring commitments and ensuring reliability in care.

B. Allowing a new mother to hold her stillborn infant is compassionate care but relates more to the ethical principle of beneficence.

C. Confirming that a client going for surgery has signed a consent form is related to the principle of autonomy and informed consent.

D. Refusing to disclose information about a client to the media is related to confidentiality, not fidelity.

A. "The client must provide permission to share the records with you." B. "I will ask the nursing supervisor to obtain the medical records for you." C. "The health care provider will share this information with you." D. "The ethics committee will need to approve this request for you."

Correct Answer is A

Explanation

Rationale:

A. "The client must provide permission to share the records with you." is the correct procedure as medical records are confidential and require patient consent for release to family members.

B. I will ask the nursing supervisor to obtain the medical records for you is not correct unless the client has given permission.

C. The health care provider will share this information with you does not address the need for patient consent.

D. The ethics committee will need to approve this request for you is not applicable; consent from the client is required.

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A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client whose family member requests to view the client's medical record. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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