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A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

A.

“The information in your medical record is confidential, and you cannot leave this facility with it."

B.

"Because you are leaving against the medical advice of your primary care provider, you may not have the medical record."

C.

"You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you."

D.

"Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here."

Answer and Explanation

The Correct Answer is C

A. “The information in your medical record is confidential, and you cannot leave this facility with it." While confidentiality is true, this response may seem dismissive and doesn’t address the patient’s right to access their health information.

 

B. "Because you are leaving against the medical advice of your primary care provider, you may not have the medical record." Leaving AMA does not negate the patient’s rights to access their medical information.

 

C. "You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you." This response respects the patient’s rights and explains that while the original record is hospital property, a copy can be made.

 

D. "Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here." This response is inaccurate as the original medical record must remain with the hospital per legal guidelines.


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View Related questions

Correct Answer is ["B","D","E","F"]

Explanation

A. Oral. Oral learning is not commonly identified as a distinct mode in learning styles.

B. Visual.
Visual learning involves learning through seeing materials like images, charts, or demonstrations.

C. Gustatory.
Gustatory (taste-based) learning is not a recognized major mode of learning.

D. Auditory.
Auditory learning involves learning by listening to spoken information.

E. Kinesthetic.
Kinesthetic learning involves learning through hands-on activities and physical movement.

F. Tactile. Tactile learning is closely related to kinesthetic learning but refers specifically to hands-on activities involving touch.

Correct Answer is D

Explanation

A. interrupting frequently.
Interrupting can make adolescents feel disrespected and unheard, which may hinder effective communication and trust.

B. using active listening.
Active listening is essential in communication, especially with adolescents, as it shows respect and builds rapport. The nurse should not avoid this.

C. offering advice.
Offering unsolicited advice can lead to resistance or defensiveness in adolescents. It’s often better to guide them towards their own conclusions.

D. asking embarrassing questions.
Asking questions perceived as embarrassing may make adolescents uncomfortable, leading to reduced openness and cooperation. It is important to be sensitive and respectful when choosing questions to avoid making them feel awkward or judged.

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