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 C

Explanation

A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.

B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.

C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.

D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.

A. Depression B. Anxiety C. Fear D. Anger

Correct Answer is B

Explanation

A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.

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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

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Explanation

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