The nurse is admitting a client to the unit. Which should the nurse consider when regarding the confidentiality of the client?

A. All members of the unit's healthcare team may have access to the chart.
B. Information sharing is limited to those directly involved in the client care.
C. The Health Insurance Portability and Accountability Act (HIPAA) determines who can communicate with the client.
D. The medical records are open to any hospital employee, including administration.


Answer: B

Nursing

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Pain associated with pericarditis is most often described as

A) painful breathing. B) crushing and substernal. C) to the left arm and jaw. D) ripping or tearing.

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The nurse is alert for sympathetic responses to pain, such as:

1. increased blood pressure, increased pulse, increased respiratory rate. 2. decreased blood pressure, decreased pulse, increased respiratory rate. 3. increased blood pressure, decreased pulse, increased respiratory rate. 4. decreased blood pressure, decreased pulse, decreased respiratory rate.

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A nurse assessing a patient's oral health must assess which of the following as an immediate safety hazard?

1. The color of the mucous membranes 2. The ability to swallow 3. The presence of ulcerations or lesions in the mouth 4. The presence of bleeding in the mouth

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An individual has been involuntarily brought to a psychiatric–mental health facility by police. The care team recognizes that there is a need to allow for time to determine an appropriate diagnosis. What is this type of involuntary commitment known as?

A) Acute B) Observational C) Speculative D) Outpatient

Nursing