During a routine chart review, what is the nurse’s responsibility when there is a discrepancy in the physician’s orders?

Choice A rationale
The affective domain involves emotions and attitudes, which is not the primary focus when teaching a newly diagnosed diabetic patient about their condition.
Choice B rationale
The cognitive domain involves knowledge and understanding. Teaching a newly diagnosed diabetic patient involves providing information about the disease, its management, and self- care practices, which falls under the cognitive domain.
Choice C rationale
The psychomotor domain involves physical skills, which is not the primary focus in this context.
Choice D rationale
The behavioral domain is not a recognized learning domain in this context. The correct domain for teaching a newly diagnosed diabetic patient is cognitive.

Choice A rationale
Asking the family member to provide identification does not ensure that the caller is authorized to receive patient information. Even with identification, the nurse cannot verify the caller’s relationship to the patient or their authorization to access confidential information.
Choice B rationale
Not providing any information over the phone is the correct action to protect patient confidentiality. Healthcare providers must ensure that patient information is only shared with authorized individuals, and phone calls do not provide a secure method for verifying the caller’s identity.
Choice C rationale
Providing only publicly available information is not appropriate, as it still involves sharing patient-related details without proper verification. Any disclosure of patient information, even if minimal, must be done with caution and proper authorization.
Choice D rationale
Informing the family member that they need to visit in person is a better approach, but it still does not guarantee that the individual is authorized to receive patient information. The nurse should follow established protocols for verifying authorization before sharing any details.