A client is concerned that information given to the nurse remains confidential. Which is the nurses best response?

Question

A client is concerned that information given to the nurse remains confidential. Which is the nurses best response??  
A. Your information is confidential. It will be kept just between you and me.  
B. I will share the information with staff members only with your approval.  
C. If the information impacts your care, I will need to share it with the treatment team.  
D. You can make the decision whether your physician needs this information or not.

NursesPath · Accepted Answer

Correct Answer: (C)If the information impacts your care, I will need to share it with the treatment team.. 
Rationale: The statement that matches what is being asked is If the information impacts your care, I will need to share it with the treatment team..A. Your information is confidential. It will be kept just between you and me.This could seem tempting if the idea in “Your information is confidential. It will be kept just between you and me.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.B. I will share the information with staff members only with your approval.This could seem tempting if the idea in “I will share the information with staff members only with your approval.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.C. If the information impacts your care, I will need to share it with the treatment team.This is supported by the detail that Basic to the psychiatric clients hospitalization is his or her right to confidentiality and privacy. When admitted to an inpatient psychiatric facility, a client gives implied consent for information to be shared with health-care workers specifically involved in the clients care. Need: Safe and Effective Care Environment The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.D. You can make the decision whether your physician needs this information or not.This reflects a related idea, but it fits best when the idea in “You can make the decision whether your physician needs this information or not.” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.ConclusionThe correct selection is the one that best matches the stem’s intended interpretation and uses the provided evidence as its foundation. Other options weaken that match by introducing generalizations or unsupported details.

A client is concerned that information given to the nurse remains confidential. Which is the nurses best response?

The statement that matches what is being asked is If the information impacts your care, I will need to share it with the treatment team..

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