The father of an 18-year-old girl who is being treated for generalized anxiety disorder with panic attacks calls the PMHNP with questions about the medications she was prescribed. He demands the information because the patient lives in his home and is on his health insurance plan. What should the nurse practitioner do?
Give the father limited information in order to appease him.
Do not give the father any information without the patient's consent.
Answer all of the father's questions because she is on his health insurance plan.
Tell the father to make an appointment for an evaluation.
The Correct Answer is B
Choice A reason: Providing limited information without consent still breaches patient confidentiality and legal protections under HIPAA.
Choice B reason: The patient, being 18, is legally an adult and has the right to confidentiality regarding her medical and psychiatric care. Consent must be obtained before sharing any information.
Choice C reason: Health insurance coverage does not give a parent the right to access a patient’s medical details; legal protections ensure patient privacy.
Choice D reason: Telling the father to make an appointment does not resolve the confidentiality issue and could lead to inappropriate disclosure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Guided imagery is a mind-body intervention using mental visualization techniques and does not involve direct manipulation of the body.
Choice B reason: Meditation focuses on mindfulness and relaxation techniques without physical manipulation of muscles or joints.
Choice C reason: Reflexology is a manipulative body-based therapy that involves applying pressure to specific points on the feet, hands, or ears to stimulate healing and relaxation in corresponding body parts.
Choice D reason: Yoga combines physical postures, breathing, and meditation. While it involves the body, it is primarily classified as movement-based or mind-body therapy rather than strictly manipulative body-based therapy.
Correct Answer is D
Explanation
Choice A reason: The MMR vaccine is contraindicated during pregnancy because it is a live attenuated vaccine, which could pose a risk to the fetus.
Choice B reason: The Varicella vaccine is also live attenuated and not recommended during pregnancy; vaccination is advised prior to conception.
Choice C reason: The MenB vaccine is generally not part of routine prenatal immunization unless there is a specific risk factor.
Choice D reason: The Tdap vaccine protects against pertussis, which is critical during pregnancy to confer passive immunity to the newborn. It is recommended in the third trimester regardless of previous vaccination status.
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