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A 46-Year-Old Man Arrives at the Emergency Room Complaining of Chest

Question 43

Multiple Choice

A 46-year-old man arrives at the emergency room complaining of chest discomfort that began 30 minutes earlier. The discomfort is described as a tight, squeezing sensation that radiates to the left arm by the patient. He is also experiencing excessive perspiration and nausea. The ECG reveals multi-lead ST-segment elevation, as well as elevated cardiac troponin levels. The patient has a history of substance misuse, but no history of heart problems. He had an emergency heart catheterization and is doing well in the postanesthetic care unit. A concerned woman approaches the doctor, claiming to be the patient's wife and inquiring about his status. "I am really anxious; please tell me whether my spouse is okay," she begs. Which of the following is the best course of action?


A) Discuss the patient's medical information with the woman due to the seriousness of his condition
B) Discuss the patient's status with the woman only if she has appropriate identification
C) Explain to the woman that no information can be disclosed without the patient's permission
D) Explain to the woman that the patient's status cannot be disclosed as there is no way to be sure she is his spouse
E) Tell the woman that the patient is stable, but that further details will have to wait until the patient can give permission

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