An LPN caring for a hospitalized client receives a call from someone identifying themselves as the client's adult sibling. The caller states, “I live out of town and can't visit, but I’m very worried. Can you please tell me how my brother is doing?” The nurse checks the chart and sees no documentation of approved family contacts. Which response by the nurse is most appropriate?
I understand your concern, but I cannot confirm or deny any information without the patient’s permission.
Since you're a family member, I can tell you he's doing okay.
Let me transfer you to the charge nurse for an update.
He is stable right now, but I’ll let him know you called.
The Correct Answer is A
Choice A reason: This is the most appropriate response because it respects patient confidentiality and complies with HIPAA regulations. Without documented consent or approved contacts, the nurse cannot disclose any information. Acknowledging the caller’s concern while maintaining privacy ensures ethical and legal practice. This response balances empathy with professional boundaries.
Choice B reason: This response is inappropriate because it assumes that being a family member automatically grants access to patient information. HIPAA requires explicit patient consent before sharing health details, regardless of family relationships. Providing information without permission violates confidentiality and could have legal consequences.
Choice C reason: Transferring the call to the charge nurse does not solve the issue because the charge nurse is also bound by the same confidentiality rules. Without documented consent, no nurse can provide updates. This response may appear helpful but ultimately does not address the legal and ethical requirement to protect patient privacy.
Choice D reason: This response is inappropriate because it discloses the patient’s condition (“stable”) without consent. Even minimal information is considered a breach of confidentiality. Additionally, promising to inform the patient of the call may create false expectations for the caller. This violates professional standards and patient rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Collaboration with the RN and other interdisciplinary team members ensures that care is coordinated, evidence-based, and consistent with the overall plan of care. The RN has supervisory responsibility and often develops the care plan, while other team members (such as physical therapists, dietitians, or social workers) contribute specialized expertise. This collaboration ensures that the LPN’s interventions align with best practices and patient safety.
Choice B reason: While communication with other LPNs may provide continuity of care, it is not considered formal collaboration for best practices. Best practice collaboration requires interdisciplinary input and oversight from the RN or provider. Relying solely on other LPNs does not guarantee adherence to the care plan or evidence-based standards.
Choice C reason: Collaborating with the client themselves is essential because patient-centered care requires respecting autonomy, preferences, and goals. The client provides critical information about symptoms, comfort levels, and personal values, which guide individualized care. Involving the client ensures that interventions are not only clinically appropriate but also acceptable to the patient.
Choice D reason: Family members and significant others, with patient permission, are important collaborators because they provide emotional support, assist with care, and contribute knowledge about the patient’s history and preferences. Their involvement enhances adherence to care plans and ensures continuity after discharge. Collaboration with family also respects cultural and psychosocial needs.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect because collaboration is necessary for all patients, not just those with chronic illnesses. Effective teamwork ensures comprehensive care regardless of diagnosis.
Choice B reason: This statement is incorrect and misleading. Collaboration does not cause billing errors; rather, it improves patient outcomes and efficiency. Billing errors are administrative issues, not a result of interdisciplinary teamwork.
Choice C reason: This statement is incorrect because communication does not eliminate the need for nursing interventions. Nurses remain essential in patient care, and collaboration enhances, rather than replaces, nursing responsibilities.
Choice D reason: This is the correct statement. Collaboration among healthcare professionals reduces the risk of patient injury by ensuring coordinated care. For example, PT helps with safe ambulation, while dietary ensures proper nutrition. Together, these interventions may shorten hospital stays and improve recovery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
