Which of the following actions by the nurse would be a violation of the patient's right to privacy?
Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record.
Giving change of shift report to the oncoming RN and CNA at the patient's bedside.
Explaining the meaning of an advanced directive.
Looking up the lab results for a neighbor's former spouse.
The Correct Answer is D
Choice A rationale
Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record is not a violation of privacy. It is standard practice to document such orders to ensure all healthcare providers are aware of the patient's wishes.
Choice B rationale
Giving change of shift report to the oncoming RN and CNA at the patient's bedside, with the patient's consent, is not a privacy violation. It ensures continuity of care and involves the patient in their care plan.
Choice C rationale
Explaining the meaning of an advanced directive to the patient is part of patient education and is not a violation of privacy. It is essential for patients to understand their options for future healthcare decisions.
Choice D rationale
Looking up the lab results for a neighbor's former spouse without a legitimate reason is a breach of privacy. Nurses must only access patient information that is necessary for their job role and responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This statement is confrontational and does not provide clear boundaries or expectations for acceptable behavior.
Choice B rationale
Asking about medications does not address the inappropriate behavior and may further escalate the situation.
Choice C rationale
This response is defensive and may provoke further aggression from the client.
Choice D rationale
This statement acknowledges the client's feelings while clearly setting a boundary for unacceptable behavior, promoting a safe environment.
Correct Answer is B
Explanation
Choice A rationale
Genetic predisposition to gain weight. Genetics do play a significant role in obesity, but they are only one part of a multifactorial condition that involves numerous other factors, including environment and lifestyle.
Choice B rationale
Many complex physiologic and psychosociocultural factors. Obesity results from a complex interplay of genetic, metabolic, behavioral, and environmental factors. It includes influences from diet, physical activity, cultural attitudes, and psychological factors, making it a multifaceted condition.
Choice C rationale
Energy intake exceeding energy output. While an imbalance between energy intake and expenditure is a fundamental aspect of weight gain, it alone does not account for the complexity of obesity, which also involves hormonal, genetic, and psychosocial factors.
Choice D rationale
Fat cells being able to increase their size indefinitely. While fat cells can expand to store more fat, this explanation is too simplistic to account for the multifaceted nature of obesity, which includes genetic, metabolic, behavioral, and environmental factors.
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