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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

This is a closed-ended question that requires a yes or no answer. While it gathers specific information about breathing difficulty, it limits the patient's ability to describe their chest pain experience in their own words and provide richer details.

Choice B rationale

This question focuses on the duration of the chest pain. While this is important information for the nurse to know, it does not elicit a description of the pain itself, which is crucial for understanding the potential underlying cause and guiding further assessment.

Choice C rationale

This open-ended question encourages the patient to describe the characteristics of their chest pain, such as its quality (e.g., sharp, dull, crushing), location, radiation, and intensity. This detailed information is vital for differentiating between various causes of chest pain, including cardiac, musculoskeletal, or gastrointestinal issues.

Choice D rationale

While family history is relevant to the patient's overall health status and potential risk factors for certain conditions like heart disease, it does not directly address the patient's immediate experience of chest pain or provide details about the current symptom.

A. The nurse manager sets unit policies, conducts annual reviews, and disciplines the staff as needed. B. The nurse manager makes rounds on the unit every day to monitor for problems with patient care. C. The staff nurses work with the manager to review care options to prevent surgical site infections. D. The nurse manager conducts regular staff meetings to provide updates about new equipment and agency policies.

Correct Answer is C

Explanation

Choice A rationale

Centralized management involves top-down decision-making, where the nurse manager holds authority for policies, reviews, and disciplinary actions. This structure concentrates power and control at the managerial level, limiting staff input and autonomy in shaping unit operations and standards of practice.

Choice B rationale

Regularly monitoring patient care by making rounds is a supervisory function, ensuring adherence to established protocols and identifying immediate issues. While important for quality assurance, it doesn't inherently decentralize decision-making or empower staff in a collaborative manner.

Choice C rationale

Decentralized management empowers staff at lower levels to participate in decision-making processes. When staff nurses collaborate with the manager to review care options and implement preventive strategies, it distributes authority and fosters a sense of ownership and shared responsibility for patient outcomes.

Choice D rationale

Conducting regular staff meetings to disseminate information about new equipment and policies is a communication strategy that ensures staff are informed. However, it does not necessarily involve staff in the formulation or decision-making processes related to these changes, maintaining a more centralized approach.

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Adherence to the concept of confidentiality for the patient's medical record requires that the nurse:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient with chest pain who has just come to the hospital. Which open-ended query will provide the nurse with helpful information about the patient's health status?

Correct Answer is C

Explanation

Which nursing leadership approach demonstrates decentralized management?

Correct Answer is C

Explanation

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