A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

“The information in your medical record is confidential, and you cannot leave this facility with it."

"Because you are leaving against the medical advice of your primary care provider, you may not have the medical record."

"You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you."

"Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here."

Answer and Explanation

The Correct Answer is C

A. “The information in your medical record is confidential, and you cannot leave this facility with it." While confidentiality is true, this response may seem dismissive and doesn’t address the patient’s right to access their health information.

B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." Leaving AMA does not negate the patient’s rights to access their medical information.

C. "You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you." This response respects the patient’s rights and explains that while the original record is hospital property, a copy can be made.

D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here." This response is inaccurate as the original medical record must remain with the hospital per legal guidelines.

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Correct Answer is C

Explanation

A. write down the steps as she performs them.
Writing down the steps may help the patient review later but does not actively engage the patient in learning during the procedure.

B. read the listed steps written on a poster board on the wall.
Reading steps on a poster board can provide visual support but doesn’t actively involve the patient in recalling or practicing the procedure.

C. verbalize each step until the steps are memorized.
Verbalizing each step is an active form of learning that reinforces memory and helps the patient feel more comfortable with the process, making it an effective teaching strategy.

D. close her eyes and envision the process.
Visualization can help with memory, but it may not be as effective as actively verbalizing each step for practical, hands-on tasks.

A. Asking the patient, "Did you graduate from high school?" B. Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?" C. Giving the patient some printed materials and saying. "After you have read this, I’ll ask you some questions about what's in them, to see if you've learned it." D. Asking the patient, "Are you able to read?"

Correct Answer is C

Explanation

A. Asking the patient, "Did you graduate from high school?" This question is not a direct way to assess reading or comprehension ability. A person’s educational level does not necessarily reflect literacy skills.

B. Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?" This approach is indirect and does not confirm whether the patient can actually read or understand the instructions.

C. Giving the patient some printed materials and saying, "After you have read this, I'll ask you some questions about what's in them, to see if you've learned it." This option allows the nurse to assess both the patient's reading ability and understanding by following up with questions, ensuring comprehension.

D. Asking the patient, "Are you able to read?" While this question is direct, it may embarrass the patient, and it does not assess comprehension.

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A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a nurse is "talking through" a procedure or assisting the patient to learn, the nurse encourages the patient to:

Correct Answer is C

Explanation

The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

Correct Answer is C

Explanation

When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

An example of a nurse communicating with a patient using open-ended questions would be:

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A patient states, "I'm so worried that I might have cancer." The nurse responds, "It is time for you to eat breakfast." The nurse's response is an example of.

When communicating with a hearing-impaired patient, the nurse appropriately:

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

If an agency is using computer-assisted charting, the nurse is responsible for:

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient. "Lucky you! Every cloud has a silver lining." The nurse's statement is an example of which type of communication block?