Practice Quiz

NCLEX-RN

Category - Care Management

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A high profile celebrity client is about to deliver her first child. A physician who is not caring for the client or the soon to arrive infant requests the chart from the nurse. Which of the following actions should the nurse take?
  1. Ask the attending physician for permission to allow the physician access to the client’s chart.
  2. Request written permission from the client and then give the physician the chart.
  3. Give the physician the chart immediately.
  4. Do not allow the physician access to the chart.
Explanation
Answer: D - The nurse must protect the client’s right to confidentiality by not allowing the physician access to the client’s chart. The physician is not involved in the care of this client and has no medical need to view the client’s chart. While written permission from a client is required for unauthorized personnel to access the client chart, this client is about to deliver, making such a request would be inappropriate at this time.
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