Author Question: The patient's son requests to view documentation in the medical record. What is the nurse's best ... (Read 13 times)

savannahhooper · **on:** Jul 22, 2018

The patient's son requests to view documentation in the medical record. What is the nurse's best response to this request?

a. I'll be happy to get that for you.
b. You are not allowed to look at it.
c. You will need your mother's permission.
d. I cannot let you see the chart without a doctor's order.

Question 2

The patient reports to the nurse of being afraid to speak up regarding a desire to end care for fear of upsetting spouse and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?

a. Advocacy
b. Responsibility
c. Confidentiality
d. Accountability

leahm14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
The mother's permission is needed. The nurse understands that sharing health information is governed by HIPAA legislation, which defines rights and privileges of patients for protection of privacy. Private health information cannot be shared without the patient's specific permission. The nurse cannot obtain the records without permission. The son can look at it after approval from the patient. While talking to the physician or getting an order is appropriate, the patient still has to give consent.

Answer to Question 2

ANS: A
Nurses advocate for patients when they support the patient's cause. A nurse's ability to adequately advocate for a patient is based on the unique relationship that develops and the opportunity to better understand the patient's point of view. Responsibility refers to respecting one's professional obligations and following through on promises. Confidentiality deals with privacy issues, and accountability refers to answering for one's actions.