A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?

Giving change -of-shift report to a nurse outside the client’s room

Protecting client confidentiality is an essential aspect of providing healthcare. Confidentiality ensures that sensitive client information remains private and is not disclosed to unauthorized individuals.

Giving change-of-shift report to a nurse outside the client's room: This is an appropriate action as long as the nurse ensures that the conversation occurs in a private and secure location where unauthorized individuals cannot overhear the discussion. This protects the client's confidentiality while allowing for effective communication and continuity of care.

Discarding worksheets containing client information in a wastebasket in (option A) is not an appropriate action, as discarding worksheets containing client information in a wastebasket can expose the information to unauthorized individuals. Instead, the nurse should follow proper procedures for the disposal of confidential information, such as shredding or using secure disposal methods.

Writing a client's diagnosis on the message board in the client's room in (option B) is not an appropriate action, as it can compromise the client's privacy. The nurse should avoid posting or displaying any client- specific information in public areas where it can be accessed by unauthorized individuals. Confidential information should be shared only on a need-to-know basis with healthcare professionals involved in the client's care.

Discussing a client's prognosis with assistive personnel who is caring for the client in (option D) is not an appropriate action, as discussing a client's prognosis with unauthorized individuals breaches the client's confidentiality. Prognosis and sensitive medical information should be discussed only among healthcare professionals directly involved in the client's care and on a need-to-know basis.