Author Question: A nurse is providing care for an older adult client who has been admitted to the hospital with liver ... (Read 102 times)

erika · **on:** Jul 11, 2018

A nurse is providing care for an older adult client who has been admitted to the hospital with liver cirrhosis.

The client has expressed to the nurse his concerns that the details of his condition and treatment remain confidential, and that written documentation not get out there.. How can the nurse best respond to the client's concerns? A) Anything that is discussed between us is confidential and will not be shared with anyone else..
B) The Health Insurance Portability and Accountability Act ensures that your medical records will not leave this hospital..
C) Provided you signed a directive on admission, your records will not be made public..
D) The law protects your right to confidentiality and health information from being released into unintended hands..

Question 2

At 65 years of age, a client is starting to exercise again after 10 years of inactivity. Which of the following is most appropriate for this client to include in starting the program?

A) Strength training rather than aerobic activity, and periodic monitoring of vital signs and symptoms.
B) A physical exam and a focus on walking at least three times a week.
C) A physical exam, physical activities that match the client's mental abilities, and monitoring of vital signs after each workout.
D) A physical exam, physical activities that match the client's interest and ability, and monitoring of vital signs and symptoms at various activity levels.

DylanD1323 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Feedback:
The HIPAA aims to protect individuals' right to confidentiality and prevent records from being accessed by individuals for whom it was not intended. It would be inaccurate to assure a client that all assessment findings and interactions will remain between the client and the nurse, and the HIPAA does not necessarily guarantee that records will never leave the institution in question. Preventing health records from public access does not require a signed directive.

Answer to Question 2

D
Feedback:
Everyone beginning an exercise program should have a physical exam to rule out any limits to activity. Also, a program that addresses a person's interest and ability will ensure compliance. Finally, monitoring a person's vital signs at various levels of activity is important.