Nokea
A legal right to confidentiality of client information is waived when:
- A. a court system subpoenas information.
- B. a family member requests health care information of a client.
- C. a living will takes effect.
- D. the client is declared incompetent by the legal system.
Correct Answer: A
Rationale: The legal right to confidentiality is waived when the court requires information for legal proceedings, when the state requires mandatory reporting, when a client reveals intent to harm, or when a client cannot make safe decisions.
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Which of the following factors can impact an individual's ability to give informed consent?
- A. IQ
- B. educational level
- C. pain medications
- D. financial status
Correct Answer: C
Rationale: Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.
A client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the client from leaving due to concern for his health. Which of these legal charges could the nurse face?
- A. False imprisonment, as the nurse is not allowing the client to leave as he has decided to.
- B. Malpractice, as the nurse is intentionally keeping the patient from making his own decisions, thus violating that nursing duty.
- C. Invasion of privacy, as the nurse is getting involved in the patient's private decisions regarding healthcare.
- D. Negligence, as the nurse ignored the clients right to choose with regard to his healthcare.
Correct Answer: A
Rationale: Refusing to let a client leave against medical advice (AMA) is a form of false imprisonment and is a legal issue for nurses.
A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?
- A. Sleep at least 6-8 hours a night
- B. Practice monthly self-breast examination
- C. Reduce stress
- D. All of the above
Correct Answer: D
Rationale: All listed actions contribute to cancer prevention: adequate sleep supports immune function, self-breast exams aid early detection, and stress reduction enhances overall health. These complement the client's existing healthy habits.
Which of the following is true about use of technology when caring for a client?
- A. If the nurse does not have time to complete their charting, it is appropriate to take a lunch break and then return to charting.
- B. Medications should be reported promptly.
- C. When researching a client's condition, any available sources can be used.
- D. Computers should only be used for charting purposes during the shift.
Correct Answer: B
Rationale: All charting should be accurate and timely. Computers can be used to look up information related to a client's condition or treatment, but the reliability of sources should be confirmed.
A nurse witnesses a client sign the consent form for surgery with the surgeon. As the surgeon leaves, the client starts to speak and then stops. The nurse asks if the client has further questions and he says, 'I don't want to bother the surgeon.' The nurse should
- A. acknowledge the client's wish not to bother the surgeon and tell the client to let you know if they change their mind
- B. acknowledge the client's wish not to bother the surgeon and answer all of their questions, as appropriate
- C. go get the surgeon to answer all of the client's questions
- D. answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed
Correct Answer: D
Rationale: Nurses should always advocate for their clients, making sure they understand everything involving their health as well as ensuring all questions are answered appropriately and thoroughly.