The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

"What we say can be secret. What I write in the chart is available to the health team."

"I am required to report any intent to hurt yourself or others."

"Conversations between patient and nurse are confidential."

"I can't help you unless you trust me."

Answer and Explanation

The Correct Answer is B

A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.

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Correct Answer is D

Explanation

A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.

A. A resident with dementia who requires assistance eating. B. A resident who is sexually active C. A resident who is undergoing chemotherapy for breast cancer D. A resident recovering from a hip fracture

Correct Answer is C

Explanation

A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.

B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.

C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.

D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.

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The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is herpes simplex type 2?

Correct Answer is D

Explanation

Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

Correct Answer is C

Explanation

Which areas are affected only minimally by age?

The patient with herpes zoster virus is asking the nurse about this condition. Which knowledge does the nurse use to base patient teaching on?

Which is the greatest concern during the emergent phase of a burn injury?

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?

The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed in which way?

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?