Practice Quiz

CRNE Exam Prep

Category - Professionalism

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Michelle, a female client, is re-admitted to the nursing unit after a diagnostic surgical procedure. The findings indicate that she has cancer. The physician informs the nursing staff not to inform the client about the diagnosis. It is noted that the Michelle has a history of suicide attemps. As soon as Michelle regains consciousness, she asks the nurse if she has cancer. Which of the following is the best response made by the nurse?
  1. “I am sorry, but I do not have any information about your diagnosis.”
  2. “I am not in the position to tell you about the diagnosis. It is best to ask your family members about the results.”
  3. “The initial findings of the surgeon suggest you have cancer. It is best if you talk to the surgeon to determine your treatment options.”
  4. “I will contact the surgeon and have him speak with you as soon as he can.”
Explanation
Answer: D - The best response is: “I will contact the surgeon and have him speak with you as soon as he can.” It is only the physician who is responsible for informing the client about the results of the tests. By contacting the physician, the nurse is not violating the principles of fidelity or veracity. Option A violates veracity. The family is not responsible for informing the client about the diagnosis. C violates fidelity, or professional loyalty to the profession.
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