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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.

B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.

C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.

D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.

A. Administering medications B. Performing surgical procedures C. Diagnosing mental illnesses D. Providing therapeutic communication

Correct Answer is A

Explanation

A. Administering medications: Mental health nurses can administer psychiatric medications, including antipsychotics, mood stabilizers, and antidepressants.

B. Performing surgical procedures: Surgical procedures are outside a nurse’s scope of practice and are performed by surgeons, not nurses.

C. Diagnosing mental illnesses: Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental illnesses.

D. Providing therapeutic communication: Mental health nurses use therapeutic communication techniques like active listening, validation, and open-ended questioning.

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Which situation is an exception to the rule of maintaining patient confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which phase of the nurse-client relationship involves establishing trust and rapport with the client?

Correct Answer is C

Explanation

What is included in the scope of practice for a mental health nurse?.

Correct Answer is A

Explanation

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.