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 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.
Correct Answer is C
Explanation
A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.
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