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: 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.
Correct Answer is C
Explanation
Choice A reason: Autonomy involves respecting a patient’s right to make decisions. While relevant in mental health, the scenario focuses on differing treatments for similar conditions, not patient choice, making autonomy less directly applicable than the principle of fair treatment across patients.
Choice B reason: Beneficence emphasizes promoting patient well-being. Both restraints and supervision aim to prevent harm, fulfilling beneficence, but the concern is about unequal treatment, not the intent to benefit, making this principle less relevant than justice.
Choice C reason: Justice involves fair and equitable treatment for all patients. Using restraints for one self-mutilating patient and supervision for another raises concerns about consistency and fairness in care, directly aligning with the ethical principle of justice, making this the correct choice.
Choice D reason: Nonmaleficence focuses on avoiding harm. Both interventions aim to prevent self-mutilation, fulfilling this principle, but the ethical issue is about equitable application, not harm avoidance, making justice the more relevant principle in this scenario.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.