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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Escorting the nurses to the nurses' lounge to continue the discussion is incorrect. While removing the nurses from a public area to discuss the matter further might seem like a good idea, it does not address the underlying issue of unprofessional behavior and inappropriate discussion about patient care. The charge nurse should intervene to address the situation more formally.
Choice B Reason:
Contacting the house supervisor to mediate the conflict is correct. Contacting the house supervisor ensures that the issue is escalated appropriately and that a neutral party with authority can intervene to mediate the conflict. The house supervisor can help address the nurses' concerns while emphasizing the importance of professionalism and patient-centered care.
Choice C Reason:
Recommending that both nurses be terminated is incorrect. Termination should only be considered after a thorough investigation and due process. Jumping to termination as the first course of action is inappropriate and may not be warranted in this situation, especially without understanding the full context and reasons behind the nurses' behavior.
Choice D Reason:
Making arrangements to take over the client's care is incorrect. While ensuring continuity of care for the client is important, taking over the client's care without addressing the underlying issue of unprofessional behavior and inappropriate discussion about patient care does not address the root cause of the problem. It's important to address the behavior of the nurses through appropriate channels and ensure that they understand the importance of professionalism and patient confidentiality.
Correct Answer is B
Explanation
Choice A Reason:
Telling the client to leave her purse in a drawer of the bedside table is incorrect. Leaving the purse unattended in a bedside table drawer may not ensure its safety, as there could still be a risk of theft. Additionally, leaving valuables unattended in a hospital room may not be the safest option.
Choice B Reason:
Offering to place the purse in the facility safe is correct. Placing the purse in the facility safe is a secure option for safeguarding the client's belongings during surgery. It provides reassurance to the client that her valuables will be protected while she undergoes the procedure.
Choice C Reason:
Offering to store the purse at the nurses' station is incorrect. While storing the purse at the nurses' station may be a better option than leaving it in the client's room, it may not provide the same level of security as placing it in the facility safe. The nurses' station may be a busy area with various staff members coming and going, increasing the risk of theft.
Choice D Reason:
Placing the purse in the clothing bag with the client's other belongings is incorrect. Placing the purse in the clothing bag with the client's other belongings may not offer sufficient security, as the bag could still be accessible to unauthorized individuals. It's important to provide a secure storage option, such as the facility safe, to minimize the risk of theft.
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