A nurse's sibling had a diagnostic test at the nurse's facility. The sibling asks the nurse to look up the result in the computer. The nurse should identify which of the following as the reason for her decision about her sibling's request?
It is not permissible because the provider should disclose laboratory results or findings to a client.
It is not permissible because there is no nurse-client relationship between the sibling and nurse.
It is permissible because the sibling has paid for the service.
It is permissible because the client's sibling made the request.
The Correct Answer is B
Explanation:
A. It is not permissible because the provider should disclose laboratory results or findings to a client.
This statement is not accurate in this context. While it is true that healthcare providers are responsible for disclosing test results to clients, this responsibility is typically limited to the provider-patient relationship, not to family members of healthcare workers.
B. It is not permissible because there is no nurse-client relationship between the sibling and nurse.
This is the correct choice. In healthcare ethics and legal standards, privacy and confidentiality are essential. The nurse has a duty to maintain the confidentiality of patient information, and this duty extends to family members of patients. Since there is no official nurse-client relationship between the nurse and her sibling, accessing the sibling's diagnostic test results would violate the privacy and confidentiality rights of the sibling.
C. It is permissible because the sibling has paid for the service.
Payment for services does not override the principles of confidentiality and privacy in healthcare. Even if the sibling has paid for the service, it does not grant the nurse permission to access the sibling's medical information without proper authorization.
D. It is permissible because the client's sibling made the request.
The fact that the sibling made the request does not automatically make it permissible for the nurse to access the diagnostic test results. Confidentiality and privacy considerations are paramount in healthcare, and access to patient information is typically restricted to authorized individuals involved in the patient's care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. Material safety data sheets:
Material safety data sheets (MSDS) are documents that provide information about the properties of chemicals and substances, including hazards, handling, storage, and emergency procedures. While MSDS are crucial for ensuring safe handling of materials, they primarily focus on chemical safety and may not provide detailed guidance on specimen collection protocols. Therefore, while MSDS are essential references for safety, they are not the primary source for revising specimen collection protocols.
B. Evidence-based practice:
Evidence-based practice (EBP) involves integrating the best available evidence from research studies, clinical expertise, and patient values and preferences to make informed decisions about patient care. For revising protocols, nurses should rely heavily on evidence-based guidelines and research literature related to specimen collection techniques, safety measures, accuracy, and quality assurance. EBP ensures that protocols are based on the latest scientific evidence, leading to improved patient outcomes and quality of care.
C. Client medical records:
Client medical records contain detailed information about individual patients, including their medical history, diagnoses, treatments, and laboratory results. While medical records are valuable for understanding specific patient needs and conditions, they are not typically used as primary sources for developing or revising unit-wide protocols. However, reviewing medical records may provide insights into specific challenges or issues related to specimen collection for certain patients.
D. Facility policy and procedures:
Facility policy and procedures manuals outline the organization's guidelines, protocols, and standards of practice for various aspects of patient care, including specimen collection. Nurses should refer to facility policies and procedures to understand existing protocols, safety measures, documentation requirements, and quality control processes related to specimen collection. While facility policies are important references, they may need to be updated based on current evidence and best practices, which is where evidence-based practice comes into play.
Correct Answer is D
Explanation
Explanation:
A. "The client has developed drooping facial features."
This statement provides specific information about a recent change in the client's condition, which is relevant background information. It helps the provider understand one of the key reasons for the communication.
B. "The client may benefit from a neurology consult."
While suggesting a neurology consult is a potential recommendation (R) in the SBAR tool, it is not part of the Background (B) component. Background information typically focuses on factual data about the client's history, current condition, and pertinent details relevant to the situation.
C. "The client is disoriented and pupils are slow to respond to light."
Similar to option B, this statement describes the client's assessment findings and current condition rather than providing background information. It would be more appropriate in the Assessment (A) component of the SBAR tool.
D. "The client has a history of hypertension."
This statement provides relevant background information about the client's medical history, specifically their history of hypertension. Including this information in the Background component helps the provider understand the client's baseline health status, which is important for evaluating the current situation.
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