Adherence to the concept of confidentiality for the patient's medical record requires that the nurse:
Share information only with the family.
Have a clinical reason for reading the record.
Provide information only to another nurse.
Provide information only to an attorney.
The Correct Answer is B
Choice A rationale
Sharing information only with family members violates confidentiality unless the patient has provided explicit consent. The Health Insurance Portability and Accountability Act (HIPAA) protects patient health information from unauthorized disclosure, even to family, without patient permission.
Choice B rationale
Adherence to confidentiality principles mandates that healthcare professionals access patient medical records only when there is a legitimate clinical reason related to the provision of care for that specific patient. Accessing records out of curiosity or without a direct care responsibility is a breach of confidentiality.
Choice C rationale
Providing information only to another nurse is too restrictive. Confidentiality allows for the sharing of necessary patient information with all members of the healthcare team directly involved in the patient's care, not just nurses.
Choice D rationale
Providing information only to an attorney is incorrect. While patient records may be disclosed to attorneys in specific legal situations with proper authorization (e.g., subpoena, patient consent), healthcare professionals can also share information with other authorized individuals involved in the patient's care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This statement is accusatory and unprofessional, potentially damaging the working relationship and not addressing the underlying reason for the missed task. It does not encourage open communication or problem-solving.
Choice B rationale
This statement expresses a lack of trust and is judgmental. It focuses on the nurse's feelings rather than the specific behavior and its impact on patient care. This approach is unlikely to lead to improved performance.
Choice C rationale
This statement directly addresses the missed task in a neutral and open-ended way. It prompts the nursing assistant to provide an explanation, allowing for identification of any barriers or misunderstandings and facilitating a constructive discussion.
Choice D rationale
This statement is sarcastic and potentially demeaning. It does not address the immediate issue of the missed vital signs and is unlikely to foster a positive learning environment or improve future performance. .
Correct Answer is D
Explanation
Choice A rationale
Lack of exercise primarily affects the cardiovascular and musculoskeletal systems and is not a direct cause of fluid volume deficit. While it can indirectly impact overall health, it doesn't typically lead to significant fluid loss.
Choice B rationale
Excessive food intake, especially if high in sodium, can actually lead to fluid volume excess rather than deficit due to osmotic shifts and water retention.
Choice C rationale
Bed rest can lead to some fluid redistribution within the body but does not directly cause a significant loss of total body fluid. Immobility can affect other physiological processes more directly.
Choice D rationale
Excessive gastrointestinal losses, such as vomiting, diarrhea, or drainage from nasogastric tubes or ostomies, directly remove significant amounts of fluid and electrolytes from the body, leading to fluid volume deficit.
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