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: Fright syndromes typically involve transient anxiety and sadness but do not include the physical manifestations associated with Khayal.
Choice B reason: Weakness of the nervous system, such as neurasthenia, is associated with chronic fatigue and somatic complaints but does not reflect the acute episodic presentation of Khayal.
Choice C reason: Khayal is a Cambodian culture-bound syndrome characterized by a wind attack or sudden anxiety episode with physical symptoms, including tinnitus, palpitations, and neck soreness. It resembles a panic attack culturally contextualized.
Choice D reason: Excessive rumination or “thinking too much” is associated with some African or Caribbean syndromes but does not describe Khayal.
Correct Answer is C
Explanation
Choice A reason: Claustrophobia may cause discomfort or anxiety during MRI, but it is not an absolute contraindication; sedation or open MRI can be used.
Choice B reason: Essential hypertension is not a contraindication; blood pressure is monitored but MRI can still be performed safely.
Choice C reason: Implanted defibrillators can malfunction or pose a serious risk in the strong magnetic field of MRI, making this an absolute contraindication unless the device is MRI-compatible.
Choice D reason: Intrauterine devices are generally safe for MRI; they may cause minor artifact but do not pose significant risk.
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