A client was quite ill and the family was doing their best. After ...

[tsand2]

A client was quite ill and the family was doing their best. After careful assessment and diagnosis, the home health nurse was setting priorities for care. Which of the following should be the basis for deciding which intervention to implement first?
 
  a. Address the problem that is easiest to fix first so the client and family could see some success fairly quickly
  b. Address the most serious problem first for the client's long-term health
  c. Address the problem that is partly causing other problems first
  d. Address the problem that the client and family think should be addressed first

Question 2

A nurse was a volunteer in a faith community when a police officer asked for specific information related to a member's behavior and mental health. The faith community nurse (FCN) told the police officer, I'm a part-time volunteer; I'm not paid.
 
  A nurse was a volunteer in a faith community when a police officer asked for specific information related to a member's behavior and mental health. The faith community nurse (FCN) told the police officer, I'm a part-time volunteer; I'm not paid. Besides, I have client-professional privileges so I can't share information with you. Which of the following will most likely be the outcome of this encounter?
  a.
  The Health Insurance Portability and Accountability Act (HIPAA) will require the nurse to maintain confidentiality.
  b.
  The matter will be referred to the faith community leader for resolution.
  c.
  The nurse is still accountable and has no legal right not to disclose information requested by a legal authority.
  d.
  The police officer will have to accept the nurse's refusal to share information.

[ndhahbi]

Answer to Question 1

ANS: D
The plan, including short-term and long-term goals, is developed in consultation with the client and the family. To maximize the plan's success, it is important that the patient and family are involved. If the client expresses a disinterest, the nurse will be limited in possible interventions. Goals are identified that the client is willing to work toward with the nurse's assistance. Thus, it is most important to address the problem that the client and family think should be addressed first. The other problems can be addressed after meeting the immediate needs of the client and family.

Answer to Question 2

ANS: C
Volunteers in a church are held to the same degree of accountability as are paid employees. Ministers, both ordained and nonordained, may be required to disclose confidential information in court. FCNs, as nonordained ministers, do not have client-professional privilege. Thus, HIPAA does not apply as the information has been requested by a police officer and there is not client-professional privilege involved. The faith community leader is not able to offer a resolution to this problem as client-professional privilege does not exist in this situation. Because there is not client-professional privilege, the police officer does not need to accept the nurse's refusal to share information.

[tsand2]

Excellent

[ghepp]

TYSM