Author Question: A brother calls to speak to his sister, who has been admitted to a psychiatric unit. The nurse ... (Read 34 times)

sammy · **on:** Jul 19, 2018

A brother calls to speak to his sister, who has been admitted to a psychiatric unit. The nurse connects him to the community phone, and the sister is summoned. Later the nurse realizes that the brother was not on the client's approved call list.

What law has the nurse broken? 1. The National Alliance for the Mentally Ill Act
2. The Tarasoff Ruling
3. The Health Insurance Portability and Accountability Act
4. The Good Samaritan Law

Question 2

A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which of the following nursing interventions would address this client's symptoms? (Select all that apply.)

1. Encourage the client to recognize the signs of escalating anxiety.
2. Encourage the client to avoid any situation that causes stress.
3. Encourage the client to employ newly learned relaxation techniques.
4. Encourage the client to cognitively reframe thoughts about situations that generate anxiety.
5. Encourage the client to avoid caffeinated products.

wfdfwc23 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse has violated the Health Insurance Portability and Accountability Act (HIPAA) by revealing that the client had been admitted to the psychiatric unit. The nurse should not have provided any information without proper consent from the client.

Answer to Question 2

1, 3, 4, 5
Rationale: Nursing interventions that address GAD symptoms should include encouraging the client to recognize signs of escalating anxiety, to employ relaxation techniques, to cognitively reframe thoughts about anxiety-provoking situations, and to avoid caffeinated products. Avoiding situations that cause stress is not an appropriate intervention, because avoidance does not help the client overcome anxiety and because not all situations are easily avoidable.