A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)
An assistive personnel is informing a friend of the client about their condition.
A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present.
An assistive personnel logs out of the computer prior to responding to a call light.
A nurse is faxing data about a client to a preferred provider.
A nurse is reviewing an electronic list of all clients admitted to the unit.
Correct Answer : A,B,E
A. This is a clear breach of confidentiality as sharing client information with individuals who are not part of the healthcare team and without the client's consent violates patient privacy.
B. Discussing a client’s condition in a public area where unauthorized individuals (like visitors) can overhear is a breach of confidentiality. Patient information should be discussed in private settings to protect the client's privacy.
C. This action is a good practice to protect patient information and does not breach confidentiality.
D. This is acceptable as long as proper protocols are followed, such as using secure fax lines and confirming that the receiving party is authorized to receive the information. This action does not inherently breach confidentiality.
E. If the nurse is not involved in the care of all those clients and does not have a legitimate reason to access that information, this action can also be considered a breach of confidentiality. Healthcare providers should only access information relevant to their role and responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Reinforcing dietary teaching with a client who has heart disease is incorrect. Dietary teaching typically requires a higher level of assessment and critical thinking, often involving interpretation of lab values, medication interactions, and individualized dietary plans. This task is best suited for a Registered Nurse (RN).
Choice B Reason:
Providing postmortem care for a client who has just died is incorrect. Providing postmortem care involves emotional support, respect for the deceased, and proper handling of the body. This task is within the scope of practice for an RN and may also involve collaboration with other healthcare team members.
Choice C Reason:
Accompanying a client who just had a wound debridement to physical therapy is incorrect. Accompanying a client to physical therapy may involve monitoring the client's condition, providing assistance during the transfer, and communicating with the physical therapist about the client's status. This task typically requires an RN or may be appropriate for an assistive personnel under RN supervision.
Choice D Reason:
Obtaining a urine specimen from an older adult client is correct. Obtaining a urine specimen is a task that falls within the scope of practice for an LPN. It involves performing a routine procedure that requires technical skills but does not involve complex assessment or critical thinking beyond following established protocols.
Correct Answer is C
Explanation
Choice A Reason:
Provide volunteers who will run errands for her is incorrect. While respite care services may offer some assistance with errands or tasks, the primary purpose of respite care is to provide temporary relief and support to caregivers by allowing them to take a break from their caregiving responsibilities.
Choice B Reason:
Sending a clinician to assess the safety of leaving her partner alone is incorrect. While ensuring the safety of the client is important, assessing the safety of leaving the partner alone does not directly relate to respite care. Respite care focuses on providing temporary relief to caregivers rather than assessing the client's ability to be left alone.
Choice C Reason:
Allowing her to take time off from attending to her partner is correct. Respite care provides caregivers with the opportunity to take a break from their caregiving responsibilities and attend to their own needs, whether it's for rest, relaxation, or attending to personal matters. It allows caregivers to recharge and prevent burnout.
Choice D Reason:
Helping her arrange transferring her partner to an assisted living facility is incorrect. Respite care is not typically intended to assist with arranging long-term care options such as transferring a partner to an assisted living facility. It focuses on providing short-term relief for caregivers, allowing them to continue providing care in their own homes.
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