The nurse discusses the patient's condition on the phone with the patient's brother. On learning this, the patient is upset, saying he has not spoken with his brother for years and does not want his brother to know anything about his condition
The nurse has
a. slandered the patient.
b. committed a felony.
c. breached confidentiality.
d. assaulted the patient.
ANS: C
Confidentiality and privacy are the issues. HIPAA provides for only limited disclosure of patient health care information. Patient consent is required to disclose. Disclosure of information is not necessarily slander unless the nurse speaks of the patient in a derogatory way. A felony is a major crime. Assault involves threatening the patient.
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A type of medication order that is given "as needed" or "when necessary" is known as a _______________
a. Routine order b. Standing order c. p.r.n. order d. Single dose order
The nurse knows that the patient taking aripiprazole (Abilify) 20 mg/day PO requires which specific follow-up assessment?
1. Vital signs each visit 2. Height and weight at each visit 3. Weekly assessment for extrapyramidal symptoms 4. Every six month checks for tardive dyskinesia
An unconscious client is brought to the emergency department by ambulance for trauma treatment
The client is wearing a cocktail dress, high heels, and a wig, but on close inspection has facial and body hair consistent with being male. Further inspection determines that the client is male. Several staff laugh and make remarks about transvestism as they stabilize the client. The most appropriate action for the nurse is to say a. "Your focus should be treatment, not ridicule.". b. "Each client deserves our respect.". c. "Your behavior constitutes client abuse.". d. "Grow up, you have seen this before.".
Because of statements made by the client during a physical assessment, the nurse believes the client is at risk for developing a major illness. Which of the following statements would cause the nurse to fear for this client?
1. "Look at that person's pants! Don't they realize how ugly they are?" 2. "That sounds like a good idea! I think I will try that at home." 3. "I just love spending time outside. It energizes me!" 4. "I set aside a period of time each day for myself."