The patient's daughter requests to see the patient's medical record.
What is the nurse's appropriate response?

The doctor will have to give permission first.

I'm sorry, but that information is confidential.

Let me ask my supervisor if it is okay.

Come with me, and we will look at it together.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While physician involvement may be necessary in some cases depending on hospital policy, the nurse's immediate action should be to follow established protocols regarding medical record access. Directly stating the doctor's permission is needed might not be universally true.

Choice B rationale

While patient medical records are confidential, direct denial of access to a family member without checking hospital policy or consulting a supervisor may not be the appropriate first response. There might be specific guidelines regarding family access.

Choice C rationale

Asking the supervisor is the most appropriate initial response. It allows the nurse to adhere to hospital policy and legal guidelines regarding patient privacy and medical record access, ensuring compliance and proper procedure.

Choice D rationale

Allowing the daughter to immediately view the record without verifying hospital policy could lead to a breach of confidentiality or violation of regulations regarding access to protected health information.

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Correct Answer is A

Explanation

Choice A rationale

To convert 12: am to military time, for any time between 12: am and 12: am, the 12 is replaced with 00. Therefore, 12: am becomes 0018 in military time.

Choice B rationale

2418 is not a valid representation of time in either standard or military format. Military time ranges from 0000 to 2359.

Choice C rationale

1218 in military time represents 12: pm in standard time, not 12: am. In the afternoon and evening, 12 is added to the standard hour to convert to military time (e.g., 1 pm is 1300).

Choice D rationale

0118 in military time represents 1: am in standard time. The hour remains the same for times between 1: am and 9: am, with a leading zero added to the hour. .

A. The patient probably urinated on the floor and slipped on the wet floor. B. The patient was found on the floor, and his urinal was on the floor next to him.

Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

Speculating about the cause of the fall ("probably urinated on the floor") is unprofessional and lacks factual basis. Charting should be objective and based on observed facts, not assumptions.

Choice B rationale

Documenting objective observations, such as finding the patient on the floor with the urinal nearby, provides a factual account of the incident without making assumptions or assigning blame. This allows for a more accurate analysis of potential contributing factors.

Choice C rationale

Commenting on the nurse assistant's work habits ("always took her time") is subjective, irrelevant to the fall incident itself, and unprofessional. Charting should focus on the patient and the event.

Choice D rationale

Describing the patient as "grouchy and inappropriate" is judgmental, subjective, and does not contribute to an understanding of the fall. Such personal opinions are inappropriate for medical documentation.

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The patient's daughter requests to see the patient's medical record.What is the nurse's appropriate response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Convert 12:18 am to military time:

Correct Answer is A

Explanation

The nurse is completing the charting after a patient suffered a fall.Which statement is appropriate for the nurse to include in the description of the incident?

Correct Answer is B

Explanation

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The patient's daughter requests to see the patient's medical record.
What is the nurse's appropriate response?