A family member of a patient with delusions of persecution asks the nurse, "Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?" The nurse should reply that confidentiality
may be breached: a. under no circumstances.
b. at the discretion of the psychiatrist.
c. when questions are asked by law enforcement.
d. if the patient threatens the life of another person.
D
The duty to warn a person whose life has been threatened by a psychiatric patient overrides the patient's right to confidentiality. The right to confidentiality is not suspended at the discretion of the therapist or for legal investigations.
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A patient presents at the walk-in clinic complaining of stomach pain that is relieved by eating which the nurse suspects is caused by a peptic ulcer. How would the nurse explain the ulceration in the stomach to the patient?
A) A mucosal lining protects the stomach from hydrochloric acid and a reduction in the mucosal lining or increase in acid production allows peptic ulcers to develop. B) After digesting food, the stomach secretes a neutralizing solution to make the pH of the stomach neutral and if this doesn't occur peptic ulcers can develop. C) Our body makes hydrochloric acid for the digestion of the food we eat and that can eat right through the stomach causing ulceration when you eat a diet high in spicy food. D) Acid is secreted by cells in the first part of the small intestine and when we eat the acid flows into the stomach so people who eat often have more exposure to acid.
While orienting to the medical surgical care unit, the new graduate is assigned to care for an 82-year-old client on the day shift. At the end of the 8-hour shift, the graduate records 50 cc as oral intake
When the preceptor questions the graduate nurse about the amount recorded, the nurse reports the client was not thirsty all day. What response by the preceptor is indicated? A) "That often happens if the client is tired." B) "You must force a fluid intake of at least 1000 cc per shift." C) "As long as the output is adequate, this intake is sufficient." D) "Thirst may be diminished in the elderly, so you really need to work harder to ensure adequate intake."
The nurse is planning to implement an order to desensitize a patient to an antibiotic to which the patient previously had experienced a severe reaction
Which of the following implementations would be most appropriate prior to administration of the drug? a. Stay with the patient for the duration of the medication administration. b. Have a heart monitor accessible in the patient's room. c. Clarify the order and recommend a different antibiotic. d. Have epinephrine readily accessible in the patient's room.
Identify the type of research design employed in the following study:
"In order to determine nursing students' stress throughout the four semesters of the major, nursing students in all four semesters were surveyed as class groups at the mid-point of two contiguous semesters of coursework. Stress was assessed by a researcher-composed quantitative questionnaire." a. Cross-sectional design b. Longitudinal design c. Event-partitioning design d. Case-study design