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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Related Questions
Correct Answer is C
Explanation
This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staff they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.
Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.
Option B shows an understanding of the reason for the use of restraints.
Option Ddemonstrates awareness of the right to vote, which is not affected by mental health status.
Correct Answer is D
Explanation
Battery is the intentional and offensive touching of another person without their consent. In this case, the nurse assisted with electroconvulsive therapy on a client who refused to give consent, which could be considered as battery.
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