A nurse working on the psychiatric unit receives a telephone call from the employer of one of the patients on the unit. The employer asks to be sent a copy of Mr. Murray's latest laboratory work and psychological testing results so Mr
Murray's medical records in employee health can be kept up to date. Based on the nurse's knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?
A) "I'm sorry; we're not allowed to give out that information about our patient."
B) "I'll have to get the patient's signed consent before we can send that information to you."
C) "I am unable to acknowledge whether or not a Mr. Murray is a patient on this unit."
D) "Sure, give me your address, and I will see that the information is sent to you."
C
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The nurse is taking a health history from the family of a three-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
1. "Tell me about the concerns that brought you to the clinic today." 2. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 3. "Hello, I would like to talk with you and get some information about you and your child." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)
a. "I should do weight-bearing exercises." b. "I should get adequate intake of calcium and vitamin D." c. "I should exercise regularly." d. "I need to do yoga exercises."
A patient who is being treated in the hospital for a spinal cord injury is advocating for the removal of his urinary catheter, stating that he wants to try to resume normal elimination
What principle should guide the care team's decision regarding this intervention? A) Urinary retention can have serious consequences in patients with SCIs. B) Urinary function is permanently lost following an SCI. C) Urinary catheters should not remain in place for more than 7 days. D) Overuse of urinary catheters can exacerbate nerve damage.
Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal cord injury
a. Giving the client his PRN dose of oxaze-pam (Serax) before the muscle spasms begin b. Maintaining the patency of the Foley ca-theter c. Keeping the client in the sitting position as much as possible d. Monitoring the client's electrolyte levels