A nurse is caring for a client on a medical-surgical unit. Which of the following actions should the nurse take to maintain the client's confidentiality?
Discuss the client's condition with a nurse on another unit.
Fax client information with a cover sheet.
List the client's name and condition on board at the nurses’ station.
Post client diagnosis on message board in their room.
The Correct Answer is B
A. Discuss the client's condition with a nurse on another unit: Sharing a client’s condition with a nurse on another unit without a need-to-know basis violates confidentiality rules. Discussions about client conditions should be limited to personnel involved in care.
B. Fax client information with a cover sheet: A fax cover sheet protects the confidentiality of client information by identifying the contents and indicating that it is confidential. This ensures that the information is not exposed to unauthorized individuals during transmission.
C. List the client's name and condition on board at the nurses station: Displaying client information in public or semi-public areas, violates confidentiality. Client information should be kept private and only accessed by those who are involved in the client’s care.
D. Post client diagnosis on message board in their room: Posting the client’s diagnosis in their room is a violation of confidentiality, as other individuals (like visitors or hospital staff) may have access to that information without a need to know.
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Related Questions
Correct Answer is A
Explanation
A. "Would you like to discuss other treatment options with your provider?": This response invites the client to express concerns and explore alternative treatments. It shows respect for their preferences and promotes a collaborative decision-making process.
B. "Regular monitoring is not difficult and will ensure that you remain healthy.": This response downplays the client’s concerns and could be seen as dismissive. It focuses more on the ease of monitoring than addressing the client’s discomfort.
C. "Your provider wants you to take this medication.": Using authority to justify medication may cause the client to feel coerced rather than involved in their treatment. This doesn’t address their concerns and may erode trust.
D. "Why don't you want to undergo monitoring?": Asking why could put the client on the defensive and may make them feel judged. It doesn’t foster open communication or understanding of the client’s concerns.
Correct Answer is C
Explanation
A. Projection: Projection involves attributing one’s own undesirable feelings or thoughts onto others. This is not applicable here, as the client is not projecting their behavior onto someone else.
B. Sublimation: Sublimation is the process of channeling negative or unacceptable impulses into socially acceptable activities. Smoking due to anxiety is not an example of channeling impulses into a productive or acceptable activity.
C. Rationalization: Rationalization is a defense mechanism where a person justifies or makes excuses for their behavior or feelings. In this case, the client is justifying smoking as a way to manage anxiety, which is a classic example of rationalization.
D. Dissociation: Dissociation involves a detachment from reality or a separation of thoughts, identity, or consciousness, typically as a coping mechanism in response to trauma or stress. It is not applicable in this situation, where the client is not detaching from reality.
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