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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?

A.

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

B.

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

C.

"Conversations between patient and nurse are confidential."

D.

"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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Related Questions

Correct Answer is B

Explanation

A. Weekly for at least 6 months, then decrease the dose to once a month: Methadone is typically administered daily, not weekly, to maintain stable blood levels and manage withdrawal symptoms effectively.
B. Daily until stabilized, then gradually reduce the dose to zero. Methadone is usually given daily to stabilize the patient. Once stabilized, the dose is gradually tapered off to prevent withdrawal symptoms and reduce dependence.
C. Monthly for 6 to 10 months, then decrease the dose to zero. Methadone treatment requires daily dosing for effective management, not monthly.
D. Daily for the rest of his life. While some patients may require long-term maintenance on methadone, the goal is usually to taper off the dose gradually if possible.

Correct Answer is B

Explanation

A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.

B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.

C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.

D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.

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