The spouse of a patient who has delusions asks the nurse, "Are there any circumstances under which the treatment team is justified in violating the patient's right to confidentiality?" The nurse must 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.
ANS: D
The duty to warn a person whose life has been threatened by a patient under psychiatric treatment 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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Which of the following statements are accurate about emergency and backup plans?
1. An emergency plan outlines steps to ensure the availability of resources for ongoing business and information system processing operations whereas a backup plan provides direction during and immediately after an incident. 2. An emergency plan is tested routinely whereas a backup plan is only used if the emergency plan fails. 3. Emergency and backup plans are the same. 4. A backup plan outlines steps to ensure the availability of resources for ongoing business and information system processing operations whereas an emergency plan provides direction during and immediately after an incident.
Which is an appropriate recommendation in preventing tooth decay in young children?
a. Substitute raisins for candy. b. Substitute sugarless gum for regular gum. c. Use honey or molasses instead of refined sugar. d. When sweets are to be eaten, select a time not during meals.
While conducting an assessment, the nurse suspects that a patient is experiencing a hypertensive crisis. What did the nurse assess to make this clinical decision?
Select all that apply. 1. acute onset of confusion 2. onset of projectile vomiting 3. complaints of a severe headache 4. systolic blood pressure 198 mmHg 5. diastolic blood pressure 148 mmHg
A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?
a. Administering laxatives to the patient b. Raising the head of the bed c. Preparing to administer a barium enema d. Withholding narcotic pain medication