The unit secretary is away from the unit desk, the phone rings, ...

[sabina]

The unit secretary is away from the unit desk, the phone rings, and the student nurse answers. The
  caller is the health insurer for one of the inpatients, seeking information about the client's projected
  length of stay.
 
  How should the student nurse handle the request?
  a. Obtain the information from the client's medical record and relay it to the caller.
  b. Inform the caller that information about clients is confidential.
  c. Refer the request for information to the client's case manager.
  d. Refer the request to the unit psychiatrist.

Question 2

A nurse remarks to a peer that All the literature tells nurses that relationships are facilitated by
  consistency. I wish someone would give me some concrete examples..
 
  Examples the nurse could
  cite include (more than one answer may be correct)
  A. having the same nurse care for a client on a daily basis.
  B. providing a schedule of client activities daily.
  C. setting a time for regular sessions with the client.
  D. encouraging the client to share initial impressions of staff.

[atrochim]

Answer to Question 1

ANS: C
The case manager usually confers with insurers and provides the treatment team with information
about available resources. The student nurse should be mindful of client confidentiality and should
neither confirm that the client is an inpatient nor disclose other information.

Answer to Question 2

ANS:
A, B, C
Rationale: Consistency implies predictability. Options A, B, and C help a client predict what will
happen during each day and develop a greater degree of security and comfort. Encouraging a client
to share initial impressions of staff has nothing to do with consistency and would not be considered a
therapeutic intervention.

[sabina]

TYSM

[mohan]

Thanks for the timely response, appreciate it