A patient, brought into the ED by family members who reported a ...

[MirandaLo]

A patient, brought into the ED by family members who reported a fall, shares that the in-jury was actually a result of physical abuse. The patient tells the nurse that this is to be kept confidential because, that is my right.
 
  The nurse tells the patient that:
  a. It is a patient right but it was intended to protect patients.
  b. Nurses are required by law to report all incidents of abuse.
  c. The report will not mention the patient's admission that abuse has occurred.
  d. The abuser needs to be stopped before they go on to really cause the patient harm.

Question 2

Which intervention should be given highest priority when attempting to gain the trust of the members of an urban family whose child has been violently assaulted and is in critical condition?
 
  a. Discussing the family needs with the child's multidisciplinary care team
  b. Constantly assuring them that their child is receiving quality nursing care
  c. Encouraging and respecting their right to ask questions about their child and the child's care
  d. Keeping them updated on the health and emotional status of their child during each shift

[Jadwiga9]

Answer to Question 1

ANS: B
Releasing patient information in the context of a criminal act, such as physical abuse, is ex-empt from confidentiality standards and laws, because the release of this information is for the protection of the victim; it is used to investigate the crime and potentially to apprehend the perpetrator. Although the remaining options are true, those statements do not adequately address the patient's remarks.

Answer to Question 2

ANS: C
Assuring the family that you are not hiding facts from them will best assist in establishing a trusting relationship and can be facilitated by respecting and encouraging them to ask ques-tions that will be answered honestly by the staff. The remaining options are appropriate but lack the interaction between nurse and family that the correct option possesses.

[MirandaLo]

Excellent

[cpetit11]

Gracias!