Mr. Kelley is going to be discharged this afternoon from the mental health unit. He asks the nurse if a copy of his medical record could be sent to the psychologist he will be seeing on an outpatient basis

Based on what you know about the Health Insurance Portability and Accountability Act of 1996 (HIPAA), your best response to Mr. Kelley's request would be:
A) "Sure, Mr. Kelley, we'll have that information sent out in today's mail."
B) "You will need to sign written authorization for us to do so before we can send the information."
C) "I think it would just be best if you just told your psychologist everything he needs to know."
D) "How are you feeling about being discharged this afternoon?"


B

Nursing

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The nurse is providing discharge teaching. Which statement by the client indicates the need for further teaching regarding increased risk for metabolic alkalosis?

a. "I don't drink milk because it gives me gas and diarrhea." b. "I have been taking digoxin every day for the last 15 years." c. "I take sodium bicarbonate after every meal to prevent heartburn." d. "In hot weather, I sweat so much that I drink six glasses of water each day."

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A client who has sustained a crush injury to the right lower leg reports numbness and tingling of the affected extremity. The skin of the right leg appears pale. Which is the nurse's first interven-tion?

a. Assess pedal pulses. b. Apply oxygen by nasal cannula. c. Increase the IV flow rate. d. Document the finding.

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Which teaching strategy is appropriate for a client who wishes to use mind-body complementary therapy to supplement traditional treatment for cancer?

a. Instruct the client to make a follow-up appointment with the health care provider after using mind-body treatments to assess the client's response to treatment. b. Instruct the client never to use alternative or complementary treatments for serious illnesses. c. Explain to the client that physicians and nurses are not prepared to recommend and monitor alternative treatments. d. Explain to the client that physicians and nurses do not incorporate such treatments into their practice.

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Abnormal findings on assessment of the tonsils include:

A) Smooth surface. B) Glistening texture. C) Left and right tonsils meet at midline. D) Lack of discharge from the surface mucosa.

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