The unit secretary receives a phone call from the health insurer for a hospitalized patient. The caller seeks information about the patient's projected length of stay. How should the nurse instruct the unit secretary to handle the request?

Correct Answer: C

Rationale: The correct answer is C: Refer the request for information to the patient's case manager. The case manager is responsible for coordinating the patient's care, including length of stay discussions with the health insurer. This ensures that the information is handled appropriately and in accordance with privacy regulations. Incorrect answers: A: Obtaining information from the medical record and relaying it to the caller may violate patient confidentiality and privacy laws. B: While patient information is confidential, it is important to address the health insurer's request through the appropriate channels. D: Referring the request to the health care provider may not be necessary as the case manager is typically the appropriate point of contact for length of stay discussions with the health insurer.

Correct Answer: C

Rationale: The correct answer is C: Turning up the music loud. This strategy would be least likely to be included because it does not directly address the escalation of violent behavior. Counting to 10 and taking slow deep breaths are both commonly used techniques to help manage anger and prevent escalation. Taking a voluntary time out is also effective in creating a safe space to de-escalate. Turning up the music loud may serve as a distraction, but it does not actively address the underlying issues or help the patient stay in control of their emotions.

Correct Answer: C

Rationale: Step 1: Assessment is the first phase of the nursing process. Step 2: Collecting and organizing information is crucial to understand the client's current situation. Step 3: By collecting data, the nurse can identify the client's needs and create an individualized care plan. Step 4: Building trust and rapport (Choice A) is important but is more focused on the therapeutic relationship, which is part of the implementation phase. Step 5: Identifying goals and outcomes (Choice B) is part of the planning phase. Step 6: Identifying and validating the medical diagnosis (Choice D) is the responsibility of the healthcare provider and is not the primary goal of the nursing assessment.

Correct Answer: C

Rationale: The correct answer is C: Refer the request for information to the patient's case manager. The case manager is responsible for coordinating the patient's care, including length of stay discussions with the health insurer. This ensures that the information is handled appropriately and in accordance with privacy regulations. Incorrect answers: A: Obtaining information from the medical record and relaying it to the caller may violate patient confidentiality and privacy laws. B: While patient information is confidential, it is important to address the health insurer's request through the appropriate channels. D: Referring the request to the health care provider may not be necessary as the case manager is typically the appropriate point of contact for length of stay discussions with the health insurer.

Correct Answer: D

Rationale: The correct answer is D because psychotherapy is a key treatment for personality disorders, including cluster A disorders like schizoid or paranoid personality disorder. While medications may help manage symptoms, they do not treat the core issues. Option A is incorrect because personality disorders are deeply ingrained and not typically cured. Option B is incorrect as DBT primarily targets emotion regulation in borderline personality disorder. Option C is incorrect as medications are not considered primary treatment for personality disorders.