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 B

Explanation

A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.

A. 6 to 12 hours B. 1 to 4 hours C. 4 to 6 hours D. 30 to 60 minutes

Correct Answer is A

Explanation

A. 6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.

B. 1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.

C. 4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.

D. 30 to 60 minutes: This duration is too short for PCP-induced hallucinations.

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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

Which is important for the nurse to assess when inspecting the skin of a patient?

Correct Answer is B

Explanation

A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?

Correct Answer is A

Explanation

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