A client is concerned that information given to the nurse remains confidential. Which is the nurse’s best response regarding confidentiality?
All your information is confidential and will be kept just between us.
I will share information with the staff members only with your approval.
Some things like suicidal thinking must be reported to the treatment team.
You must select who I can discuss your care with.
The Correct Answer is C
Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.
Option (a) is incorrect because not all information can remain confidential.
Option (b) is incorrect because not all information requires the client's approval to share.
Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Sharing personal information with a client is a boundary violation, as it blurs the professional relationship and creates a risk for the client to become involved in the nurse's personal issues.
B. Making plans to have lunch with a client after discharge is also a boundary violation, as it can be interpreted as crossing the professional boundary and compromising the nurse's objectivity and impartiality.
C. Agreeing to keep a secret from a client can also be a boundary violation, as it may interfere with the nurse's professional judgment and duty to protect the client's safety and well-being.
D. Allowing a client to hold the nurse's hand before chemotherapy is not necessarily a boundary violation, as this can be a form of emotional support that is appropriate in some circumstances.
E. Reading a 'get-well' card to a client is not a boundary violation, as it is a form of emotional support that is appropriate and professional.
Correct Answer is C
Explanation
Tertiary prevention refers to interventions that are designed to reduce the impact of an ongoing illness or injury that has lasting effects. In this case, community mental health nurses have been sent to the area to provide intervention after a major hurricane has already occurred. Their goal is to help individuals and communities recover from the traumatic event and reduce the long-term impact on their mental health
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