You are working with a young adult client who attempted suicide and has been hospitalized. The client's mother and wife have been calling the hospital asking if the client has been admitted

The client has not signed any release-of-information forms and refuses to sign anything. He refuses to see anyone, have any visitors, or let anyone know he is in the hospital. Your BEST response to the wife and mother is which of the following? a. "Yes, but he won't talk with you."
b. "You will have to call his doctor to get a report."
c. "I cannot tell you if he is here or not; however, if he is, I will give him your telephone number."
d. "There is no way that I can tell you anything about any of the clients here in this hospital."


C
The nurse's best response is to tell the caller that the nurse cannot say if the client is on the unit or not. The nurse can also suggest that the callers leave their telephone number. To say, "Yes, but he won't talk with you," violates the client's right of confidentiality. To say, "You will have to call his doctor to get a report," places the responsibility on the doctor; however, the nurse should know that the doctor is bound by the same legal principles. To say, "There is no way that I can tell you anything about any of the clients here in this hospital," demonstrates poor communication skills by the nurse.

Nursing

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Which of the following is the most appropriate goal for a patient with the nursing diagnosis of Deficient Fluid Volume?

a. Electrolyte balance restored, as evidenced by improved levels of alertness and cognitive orientation. b. Electrolyte balance restored, as evidenced by sodium returning to normal range. c. Patient demonstrates effective coughing and deep-breathing techniques. d. Fluid balance restored, as evidenced by moist mucous membranes and urinating every 4 hours.

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Which of these best describes religion's affect on ethical standards and actions?

A) Religion goes beyond ethical actions B) Ethics can evolve from religious teachings C) Religion is the final form of expression of an ethic code D) A religion produces a standardized ethical code for its followers

Nursing

Consider these comments to three different nurses by a patient with an antisocial personality disorder: "You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right";

"You think you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as: a. Seductive b. Detached c. Manipulative d. Guilt producing

Nursing

The nurse is teaching a client about digestion. Which statement reflects that the client understands the teaching?

1. It is the process when food is broken down into molecules that can be absorbed. 2. The amount of blood pumped by the heart through the circulatory system in 1 minute. 3. Smooth muscle movement of the GI tract by way of contractions. 4. Neutralization by use of bicarbonate from pancreatic and biliary secretions.

Nursing