A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Identifying the client by name when making a referral for home health services
Reporting laboratory findings to a member of the client's family
Discussing a client's surgical procedure with the nurse manager
Notifying the provider of physical examination findings
The Correct Answer is B
A. Identifying the client by name when making a referral for home health services: This action is generally permissible if done in the context of necessary care coordination and with appropriate privacy measures in place.
B. Reporting laboratory findings to a member of the client's family: This action violates confidentiality unless the client has given explicit consent for the release of such information.
C. Discussing a client's surgical procedure with the nurse manager: This is usually acceptable within the healthcare team, provided it is done for care coordination or quality improvement purposes and the information is kept confidential.
D. Notifying the provider of physical examination findings: This action is part of standard care procedures and is necessary for the provider to make informed decisions about the client's treatment.
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Related Questions
Correct Answer is B
Explanation
A. Admission assessment of a new client: This task is typically performed by a registered nurse (RN) as it requires comprehensive assessment skills.
B. Scheduling a diagnostic study for a client: This is an appropriate task to delegate to an LPN as it involves administrative duties rather than clinical assessment.
C. Teaching a client insulin injection technique: Teaching complex procedures, such as insulin injection, generally falls under the responsibilities of an RN due to the need for comprehensive client education.
D. Evaluating changes to a client's pressure ulcer: This task requires a detailed assessment and clinical judgment, which is typically performed by an RN.
Correct Answer is D
Explanation
A. A client who is being discharged to a long-term care facility: This may involve extensive discharge teaching and planning, which may not align with the float nurse’s PACU experience.
B. A client who needs teaching prior to initiating cardiac rehabilitation activities: This requires specialized knowledge in cardiac rehabilitation and patient education.
C. A client who needs teaching about insulin self-administration: This requires specific knowledge about diabetes management and patient education.
D. A client who is postoperative following a lobectomy and has a chest tube: The float nurse from the PACU is likely familiar with postoperative care and management of chest tubes, making this client the most suitable for their expertise.
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