An adolescent is hospitalized after a violent physical outburst and tells the nurse, "I'm going to kill my parents, but you can't tell them." Select the nurse's initial response
a. "You're right. Federal law requires me to keep information private."
b. "Those kinds of threats will make your hospitalization longer."
c. "You really should share this thought with your psychiatrist."
d. "I am required to talk to the treatment team about your threats."
D
Breach of nurse–patient confidentiality does not pose a legal dilemma for nurses in these circumstances, because a team approach to delivery of psychiatric care presumes communication of patient information to other staff members to develop treatment plans and outcome criteria. The patient should know that the team may have to warn the patient's parents of the risk for harm.
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Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they:
a. pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). b. provide evidence of mental competency. c. supply written proof of physical fitness. d. have signed an employment contract with a health care facility.
A nurse is beginning to plan the teaching activities for a client who is learning how to take care of his wound at home
Which of the following is one of the six pieces of information that highlights the identification of the client's perspective of the need to learn? A) How the client perceives the health situation B) Physical, cultural, linguistic, or psychological limitations that may impede learning C) Intended learning outcomes D) Client's conscious intentions and desires regarding health behaviors
There are common definitions of rural and urban areas in this country. What would the nurse expect when an area is defined as urban clusters by the U.S. Bureau of the Census?
A) Nonadjacent blocks of less than 2,000 people B) Populations of 2,500 people not adjacent to urbanized areas C) Census blocks of 25,000 people in urbanized areas D) Combined census blocks of 50,000 people
The patient receives morphine for pain. He asks the nurse how it works to relieve pain. What is the best response by the nurse?
1. "It inhibits the primary pain neurotransmitters in your brain." 2. "It stimulates the receptors that secrete endorphins in your brain." 3. "It stimulates a receptor in your brain that induces pleasure." 4. "It promotes the primary pleasure neurotransmitters in your brain."