Which situation is an exception to the rule of maintaining patient confidentiality?
Sharing patient information with a family member without consent.
Talking about patient care in a public setting where others might overhear.
Releasing information to authorities if the patient poses a threat to themselves or others.
Discussing patient details with another healthcare provider who is not involved in the patient's care.
The Correct Answer is C
A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.
B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.
C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.
D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nonmaleficence: Nonmaleficence means "do no harm," which is not the main principle demonstrated here.
B. Justice: Justice refers to fairness in care and treatment distribution, which is not relevant to keeping a promise.
C. Beneficence: Beneficence involves actions that promote the well-being of a client, but this scenario specifically demonstrates truthfulness.
D. Veracity: Veracity refers to truthfulness and honesty. The nurse demonstrated veracity by keeping their promise and returning with the medication as stated.
Correct Answer is D
Explanation
A. Interrupt the client's statement to clarify thoughts or ideas. Interrupting can make the client feel unheard and disrupt the flow of conversation.
B. Show emotion when a client is disclosing sensitive information. While empathy is important, the nurse should remain professional and composed to provide objective support.
C. Keep direct eye contact to a minimum. Avoiding eye contact may appear disinterested or disengaged.
D. Avoid looking at other clients on the unit. Maintaining focus on the client demonstrates active listening, engagement, and respect.
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