During the course of client care, the 21-year-old client tells the nurse that she had an abortion last year but that no one in her family knows. Which of these terms best describes the situation?
1. Consent
2. Privacy
3. Security
4. Confidentiality
4
Rationale: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its redisclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a "need to know" and through tight control of client records.
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A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast. Except for the breast enlargement, the rest of the history and physical was reported as normal
The most appropriate intervention for the nurse to implement next would be to inform the child that: 1. A pediatric endocrine consult is being arranged. 2. The health practitioner is arranging a surgical consult for him. 3. This is a normal finding in adolescent males, and that the breast tissue generally regresses by the time of full sexual maturity. 4. His condition is related to a high-fat diet, and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.
The nurse knows that for a hospitalized patient, the legal owner of the patient's medical record is the:
a. patient. b. physician. c. institution. d. state.
The nurse uses a diagram to show the etiology of Down syndrome, which shows that:
a. there is an extra chromosome on the 21st pair. b. there is a missing chromosome on the 21st pair. c. there are two pairs of the 21st chromosome. d. the chromosome's 21st pair is missing.
The nurse is planning an educational session on suicide in the older patient population. What information should the nurse include in this presentation? Standard Text: Select all that apply
1. Suicide rates are the highest in teens. 2. A patient should never be questioned about suicide intent. 3. Suicide rates are the highest in people age 65 and older. 4. An older person who contemplates suicide is more likely to complete the act than a younger person. 5. Approximately 70% of older adults who commit suicide had visited their primary care physician within the previous month.