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Daily #10 · Ethics & Health Policy · Archive

NCLEX-RN® question of the day

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The question

A nurse is caring for a 72-year-old patient with dementia who was admitted for a hip fracture. The patient's adult child arrives and demands that the care team withhold information about the patient's diagnosis and prognosis from the patient, stating 'She'll be too upset, just tell me everything and we'll handle it.' The patient is awake, intermittently oriented, and has not been declared legally incompetent. Which action by the nurse best upholds the patient's rights?

  1. Refer the family member's concerns to the hospital chaplain for support.
  2. Notify the physician that the family has invoked HIPAA to restrict information sharing.
  3. Comply with the family member's request to protect the patient from emotional distress.
  4. Assess the patient's decision-making capacity before determining how to share information.

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