Which action by a nurse indicates a breach of a patient’s right to privacy?
Discussing the patient’s history with other staff during care planning
Documenting the patient’s daily behavior during hospitalization
Releasing information to the patient’s employer without their consent
Asking family to share information about a patient’s pre-hospitalization behavior
The Correct Answer is C
Choice A reason: Discussing patient history with staff during care planning is permissible under HIPAA for treatment purposes. It ensures coordinated care within the healthcare team, not violating privacy, as it is limited to professional need-to-know, making this choice incorrect.
Choice B reason: Documenting daily behavior is standard practice in medical records for treatment continuity and legal documentation. It is protected under confidentiality laws and does not breach privacy when restricted to authorized personnel, making this choice incorrect for a privacy violation.
Choice C reason: Releasing information to an employer without consent violates HIPAA, which mandates patient authorization for disclosures outside treatment, payment, or operations. This breaches confidentiality, compromising the patient’s right to privacy, making this the correct choice for a privacy violation.
Choice D reason: Asking family for pre-hospitalization information is appropriate if done with patient consent or legal justification, such as assessing history for treatment. Without evidence of unauthorized disclosure, this does not inherently breach privacy, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Offering self involves making oneself available to the patient, fostering trust through presence and empathy. Sitting with the patient to facilitate comfort aligns with therapeutic communication, creating a safe space for dialogue, critical in psychiatric nursing, making this the correct choice.
Choice B reason: Sharing the nurse’s personal experiences shifts focus from the patient, risking boundary violations. This is non-therapeutic, as it does not prioritize the patient’s needs or foster their openness, failing to demonstrate the "offering self" technique, making this choice incorrect.
Choice C reason: Asking why the patient struggled with adjustment is a probing question that may feel confrontational. It does not convey availability or empathy, key to "offering self," but instead seeks explanation, potentially hindering trust, making this choice non-therapeutic and incorrect.
Choice D reason: Discussing the treatment plan focuses on clinical tasks, not emotional availability. While collaborative, it does not specifically demonstrate "offering self," which emphasizes presence and support to build trust, making this choice less aligned with the therapeutic technique described.
Correct Answer is B
Explanation
Choice A reason: Administering medications addresses symptoms pharmacologically but is not a core cognitive behavioral therapy (CBT) intervention. CBT focuses on modifying thoughts and behaviors, not drug therapy, making this choice incorrect for the specified theoretical approach.
Choice B reason: CBT targets negative thought patterns to modify maladaptive behaviors and emotions, central to treating anxiety. Challenging distorted cognitions helps the patient reframe perceptions, reducing withdrawal, aligning with CBT principles, making this the correct choice.
Choice C reason: Group therapy encourages social interaction but is not a primary CBT intervention. CBT focuses on individual cognitive restructuring, not group dynamics, making this choice less relevant for the specified theoretical approach to anxiety treatment.
Choice D reason: Relaxation techniques are adjunctive in CBT but not the primary focus. Challenging negative thoughts is the core intervention, directly addressing cognitive distortions driving anxiety, making relaxation a secondary approach and this choice incorrect.
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