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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.
B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.
C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.
D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.
Correct Answer is A
Explanation
A. Keloid: Keloids are overgrowths of scar tissue that form at the site of a skin injury. They are more common in people with darker skin tones and are characterized by being raised, indurated, and shiny.
B. Nevus: A nevus (or mole) is a benign growth of melanocytes and does not typically present as a raised, shiny, and indurated scar.
C. Melanoma: Melanoma is a type of skin cancer that typically presents as a new, unusual growth or a change in an existing mole. It would not be expected to appear at a surgical incision site as described.
D. Angioma: An angioma is a benign tumor derived from blood vessels and would not present as a raised, shiny, and indurated scar.
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