A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
"He is here in the hospital, but I cannot tell you anything else."
"I cannot confirm or deny that we have a client by that name."
"The client's condition is stable right now."
"I will tell him you called."
The Correct Answer is B
A. "He is here in the hospital, but I cannot tell you anything else."- This response respects the client's confidentiality and does not disclose protected health information to unauthorized individuals.
B. "I cannot confirm or deny that we have a client by that name."- This response is evasive and does not provide any useful information.
C. "The client's condition is stable right now."- Disclosing the client's condition without their consent is a violation of confidentiality.
D. "I will tell him you called."- This response breaches the client's confidentiality by confirming their presence in the hospital.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Urinate after the specimen collection- Urinating after collecting the stool specimen does not affect the collection process.
B. Place 1.3 cm (0.5 in) of formed stool into a culture tube- The amount of stool needed for collection depends on the specific instructions provided, but typically, a small amount is sufficient.
C. Keep the specimen in a warm area- Stool specimens are usually kept at room temperature or refrigerated, depending on the specific requirements of the test.
D. Avoid placing toilet tissue in the bedpan after defecation- Placing toilet tissue in the bedpan can contaminate the stool specimen and affect the test results. Instructing the client to avoid doing so helps ensure the integrity of the sample.
Correct Answer is B
Explanation
A) Administering vaginal cream to a client who has a vaginal infection - This task involves administration of medication, which typically falls within the scope of licensed nursing practice.
B) Providing postmortem care for a client who has just died - When delegating tasks to assistive personnel, nurses can assign activities such as providing postmortem care.
C) Suctioning a tracheostomy for a client who has a recent head injury - Suctioning a tracheostomy requires specialized training and is typically performed by licensed nursing staff.
D) Changing a peripheral IV dressing for a client who is postoperative - Changing an IV dressing is a task that require skills of a licensed nurse hence cannot be delegated to an assistive personnel.
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