The ex-wife of a hospitalized client asks the nurse for a status report on the condition of her ex-husband. Which statement by the nurse is most appropriate?
"Because of confidentiality laws. I will need to get your name before I give you an information update."
"I need permission to share any information about a client's condition."
"You may contact your ex-husband's physician for an update. Here is the phone number."
"He has been comfortable throughout the day. He should be going home tomorrow."
The Correct Answer is B
Rationale:
A. "Because of confidentiality laws, I will need to get your name before I give you an information update": Simply obtaining the ex-wife’s name does not grant legal permission to share protected health information. Confidentiality under HIPAA requires explicit authorization from the patient or a legally designated representative.
B. "I need permission to share any information about a client's condition": This response respects the client’s right to confidentiality under HIPAA and other privacy regulations. It ensures that no protected health information is shared without consent.
C. "You may contact your ex-husband's physician for an update. Here is the phone number": Directing the ex-spouse to the physician does not guarantee privacy compliance and may still result in unauthorized disclosure if the physician shares information without consent.
D. "He has been comfortable throughout the day. He should be going home tomorrow": Providing any details about the patient’s condition without documented consent violates HIPAA and confidentiality regulations, making this an inappropriate response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Medicaid: Medicaid is a state- and federally-funded program that provides health coverage for low-income individuals, including pregnant women. It covers prenatal care, labor and delivery, and postpartum services, making it the most appropriate option for this client.
B. Medicare: Medicare primarily provides health coverage for adults aged 65 and older or those with certain disabilities. It is not typically available for low-income pregnant women without qualifying disability status.
C. Health maintenance organization (HMO): HMOs are private insurance plans that require enrollment and monthly premiums. Eligibility is not based on income, so a low-income uninsured client may not qualify without purchasing coverage.
D. Preferred provider organization (PPO): PPOs are also private insurance plans with network providers and cost-sharing arrangements. Coverage is not automatically provided based on income, making it less accessible for uninsured, low-income clients.
Correct Answer is D
Explanation
Rationale:
A. Assessment of the student's condition by a competent physician: While a medical assessment is important for understanding the student’s health status, it does not directly determine the ability to continue in the nursing program.
B. The student's ability to move obese patients from the stretcher to the bed: Physical demands are part of nursing, but specific limitations can often be addressed with assistive devices or team lifting. This alone does not automatically prevent progression in the program.
C. The side effects of medication the student is taking: Medication side effects may temporarily affect performance, but they can usually be managed or adjusted. This factor may influence day-to-day functioning but is not the primary determinant of program progression.
D. Whether reasonable accommodations can be made for the student: The ability to provide reasonable accommodations, such as assistive devices, modified clinical assignments, or adaptive equipment, most significantly affects the student’s ability to continue and succeed in the program while managing a progressive muscular condition.
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