On returning to the nurse's station, the LPN discovers that the daughter of a frail but competent resident is reading her mother's chart. The woman says, "I am entitled to see my mother's medical record
" The nurse's best response would be: 1. "What is it that you believe you need to know? Give me the chart."
2. "You must understand that only your mother has the right to read the contents of her medical record. Please give me the chart."
3. "Although the chart itself is not available to you to read, I would be glad to try and answer any questions you have. May I have the chart, please?"
4. "Reading that chart is a very serious violation of your mother's privacy. I cannot allow you to see it. Please put the chart down."
3
Unless the patient is legally declared incompetent and the person requesting to discuss the chart information is appointed legal surrogate, under the Patient's Bill of Rights, he or she has the right to privacy and confidentiality. All the other options are demanding or aggres-sive, invite a power struggle, and do not fulfill the daughter's need for information.
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The nursing diagnosis established for the client in chronic renal failure (CRF) is related to significant osteodystrophy. Which of the following does the nurse set as the priority nursing diagnosis for this client?
1. Risk for Injury 2. Risk for Bleeding 3. Disturbed Body Image 4. Anxiety
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What will be an ideal response?
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