Which of the following would not be appropriate documentation in the client chart?
The client missed his follow-up appointment.
The client stopped taking his medications.
The client refused to go to therapy.
The nurse thinks the client is hostile.
The Correct Answer is D
The client missed his follow-up appointment:This information is relevant to the client's care, indicating a missed appointment and potential need for rescheduling or follow-up.
The client stopped taking his medications: This is crucial information about the client's medication adherence, which can impact their health outcomes and treatment plan.
The client refused to go to therapy: Documenting the client's refusal of therapy is essential for continuity of care and ensuring that the healthcare team is aware of the client's decisions regarding their treatment.
The nurse thinks the client is hostile: Documenting the nurse's personal opinion about the client being hostile is not appropriate in the client's chart. Objective, observable behaviors should be documented, but subjective judgments or personal opinions about the client's demeanor or attitude should not be included in the chart. It is important to maintain professionalism and objectivity in documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Refuse to give the information over the phone:
This option respects the patient's confidentiality and is the best course of action. Sharing sensitive medical information over the phone without proper verification and consent is not appropriate.
B) Give a noncommittal response that "everything is normal" even though it is untrue:
Providing false information compromises the integrity of the healthcare professional and can lead to serious consequences if discovered. It's essential to be honest and accurate when sharing medical information.
C) Give the results as they are reported on the laboratory sheet because the insurance company is paying for the test anyway:
Sharing medical information without proper consent, especially over the phone, is a violation of patient privacy and confidentiality. Insurance payment does not negate the need for patient consent and confidentiality.
D) Tell the representative that the test results are not back yet:
If the results are not yet available, it is appropriate to inform the insurance representative truthfully. However, if the results are available, the nurse should not provide them without proper authorization.
Correct Answer is A
Explanation
Morals:
Morals are personal beliefs about what is right or wrong. They often stem from religious, cultural, or individual values and guide an individual's behavior and decisions.
Values:
Values are principles or standards that hold importance to an individual or a group. They can include moral, ethical, social, or cultural beliefs and influence behavior and decision-making.
Laws:
Laws are rules and regulations established by a governing authority. They are enforced by the government and are applicable to all individuals within a specific jurisdiction.
Ethics:
Ethics refers to a set of moral principles or values that guide the behavior of individuals or groups. It involves making decisions based on what is morally right or wrong, often considering the consequences and impact on others.
Beneficence:
Beneficence is an ethical principle that emphasizes the obligation to do good and promote the well-being of others, acting in their best interest.
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