A parent previously agreed that the psychiatric-mental health nurse practitioner (PMHNP) and her 17-year-old son could discuss his treatment in confidentiality. Now, the mother is calling the PMHNP asking about his most recent diagnosis of gender dysphoria. What should the PMHNP do?
Answer all of the mother's questions.
Tell the mother she will need to come in person to discuss her son's case, because there is no way to guarantee the person on the phone is who she says she is.
Give the mother limited, vague answers.
Do not discuss the patient's treatment with her.
The Correct Answer is D
Choice A reason: Answering all questions would violate the adolescent’s right to confidentiality and could undermine trust in the therapeutic relationship.
Choice B reason: Requiring in-person verification still may not address confidentiality concerns. The adolescent has the right to privacy about his health information at age 17, so even verified disclosure may be inappropriate without consent.
Choice C reason: Providing vague information may still constitute a breach of confidentiality and is not the safest professional practice.
Choice D reason: This is the correct answer. The PMHNP must respect the adolescent’s confidentiality regarding his diagnosis and treatment unless the patient provides consent to share information with his parent. This maintains trust and legal compliance with privacy laws.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Khayal is a culture-bound syndrome primarily found in Cambodia and involves anxiety and somatic symptoms. It is not characteristic of sudden explosive behavior in Latinos.
Choice B reason: This is correct. Ataque de nervios is a syndrome observed in Latino cultures, typically triggered by acute stressors, often involving uncontrollable shouting, trembling, crying, or aggression, and is culturally recognized as a response to extreme distress.
Choice C reason: Amok is a culture-bound syndrome seen in Southeast Asia, involving sudden violent outbursts, often with homicidal behavior, which does not fit this patient’s presentation.
Choice D reason: Dhat is observed in South Asian populations and involves anxiety related to semen loss, unrelated to acute stress reactions.
Correct Answer is A
Explanation
Choice A reason: Black cohosh has some evidence for reducing vasomotor symptoms such as hot flashes, though studies are limited and results are mixed. It is considered the most studied herbal option for menopausal symptom relief.
Choice B reason: Belladonna has no evidence for treating menopausal symptoms and is not recommended due to potential toxicity.
Choice C reason: Chamomile is primarily used for sleep and mild anxiety; it lacks substantial evidence for treating hot flashes.
Choice D reason: Valerian is used for insomnia and relaxation; it does not effectively treat menopausal vasomotor symptoms.
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