A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:
Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.
nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.
nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.
nurse has not violated the confidentiality of the patient because the patient is terminal: sharing this information will not harm the patient.
The Correct Answer is C
A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.
Explanation: Even if the nurse's neighbor is considered a confidante, sharing specific patient information is still a breach of confidentiality. Healthcare professionals are obligated to follow strict guidelines regarding patient privacy, and sharing patient details with anyone outside the healthcare team, even if they promise not to share it further, is not ethically permissible.
B. The nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.
Explanation: While it's positive for nurses to encourage others to pursue nursing, this should not involve sharing private patient information. There are many appropriate ways to promote the nursing profession, such as discussing the rewards of the job, the educational paths, or the impact nurses have on patient care. Patient confidentiality, however, should never be compromised in such attempts.
C. The nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.
Explanation: This is the correct choice. As mentioned earlier, patient confidentiality is a fundamental ethical and legal principle in healthcare. Disclosing personal patient information to unauthorized individuals, even if unintentional or with good intentions, is a violation of this principle.
D. The nurse has not violated the confidentiality of the patient because the patient is terminal: sharing this information will not harm the patient.
Explanation: A patient being terminal does not change the rules of confidentiality. Regardless of a patient's condition, their right to privacy remains intact. Sharing information about a patient's terminal status without proper authorization is still a breach of confidentiality and is not considered ethical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. itching:
This is a subjective symptom. Itching is a feeling experienced by the patient and cannot be directly observed by the nurse. The patient's report of itching is subjective until the nurse observes any visible signs of scratching or a rash.
B. headache:
Similar to itching, a headache is a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of a headache is subjective until the nurse observes signs such as the patient holding their head or wincing in pain.
C. rash:
In the given context, a red rash on the face and neck is objective data. Objective data refers to measurable and observable information about a patient's condition. In this case, the nurse can directly observe the rash, making it objective. Objective data is factual and can be verified by others.
D. nausea:
Nausea is also a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of nausea is subjective until the nurse observes signs such as the patient looking pale, sweating, or exhibiting other physical symptoms associated with nausea.
Correct Answer is D
Explanation
A. Help the patient understand the objectives of care:
This is a part of the admission process, where the nurse educates the patient about what to expect during their stay, their treatment plan, and the objectives of their care. While important, it's not the primary goal of the admission interview, which is more focused on building rapport and understanding the patient's needs and concerns.
B. Initiate nursing care plan forms:
This task occurs after the admission interview and is based on the information gathered during the interview. Nursing care plans are developed to address the patient's specific needs and concerns, but the initiation of these plans is not the primary goal of the admission interview.
C. Identify the patient's major complaints:
Identifying the patient's concerns and complaints is indeed a part of the admission interview. However, the primary goal of the interview is broader: it's about establishing a connection, ensuring the patient feels heard and understood, and initiating a therapeutic relationship. While identifying complaints is important for addressing immediate concerns, the overall goal is to build trust and rapport.
D. Establish rapport:
Establishing rapport is the fundamental goal of the admission interview. It involves creating a positive and respectful relationship with the patient, which in turn fosters open communication. When rapport is established, patients are more likely to share important information about their health, which is vital for delivering effective and patient-centered care. Building rapport helps in making the patient comfortable, easing anxiety, and creating an environment where the patient feels valued and understood.
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