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 B
Explanation
Choice A reason: Asking about feelings explores emotions but does not address the patient’s question about neurotransmitters. Educational queries require informative responses to enhance understanding, not redirection to feelings, making this choice non-therapeutic and incorrect for the patient’s need.
Choice B reason: Explaining neurotransmitters as brain communication chemicals directly addresses the patient’s question. It provides clear, accurate information about their role in mood and behavior, aligning with patient education principles in psychiatric nursing, making this the correct, informative response.
Choice C reason: Focusing on medication avoids explaining neurotransmitters, failing to address the patient’s educational need. It shifts focus prematurely to treatment, which may confuse the patient, making this response less effective and incorrect for providing the requested information.
Choice D reason: Deferring to the doctor dismisses the nurse’s role in patient education, undermining trust. Nurses are equipped to explain basic concepts like neurotransmitters, and this response fails to meet the patient’s need for understanding, making it non-therapeutic and incorrect.
Correct Answer is B
Explanation
Choice A reason: Asking if the client felt this way before hospitalization focuses on past feelings, which may not address the current emotional state or therapeutic needs. While it gathers history, it lacks empathy and does not encourage the client to elaborate on their current concerns, making it less therapeutic.
Choice B reason: Reflecting the client’s statement by asking if they feel the setting is wrong demonstrates active listening and empathy, key components of therapeutic communication. It encourages the client to express feelings, fostering trust and exploration of their concerns, aligning with psychiatric nursing principles, making this the correct choice.
Choice C reason: Suggesting the client discuss concerns later with a doctor dismisses their current emotional state, potentially undermining trust in the nurse-client relationship. It avoids immediate engagement and fails to address the client’s feelings, which is critical in psychiatric care, making this response non-therapeutic and incorrect.
Choice D reason: Labeling the client’s statement as inappropriate is judgmental and dismissive, hindering therapeutic communication. It may increase the client’s sense of alienation or shame, contrary to psychiatric nursing goals of building trust and validating feelings. This response is non-therapeutic and does not support the client’s emotional needs.
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