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 B

Explanation

A. Laboratory technician: Laboratory technicians analyze blood, urine, and other specimens but do not specialize in medication interactions.

B. Psychiatric pharmacist: A psychiatric pharmacist specializes in psychotropic and other medications, ensuring there are no interactions between schizophrenia medications and diabetes treatments.

C. Psychologist: A psychologist provides therapy and mental health assessments but does not prescribe or manage medications.

D. Primary provider: While a primary care provider (PCP) oversees general care, a psychiatric pharmacist is the best choice for in-depth medication interaction expertise.

A. Social worker B. Psychologist C. Behavioral therapist D. Psychiatrist

Correct Answer is A

Explanation

A. Social worker: Social workers specialize in finding housing, connecting clients to resources, and advocating for their needs.

B. Psychologist: Psychologists provide therapy and mental health assessments but do not arrange housing.

C. Behavioral therapist: Behavioral therapists focus on therapy for behavior modification rather than social needs like housing.

D. Psychiatrist: Psychiatrists diagnose and treat mental health conditions with therapy and medications, not housing assistance.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

Correct Answer is B

Explanation

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?

Correct Answer is A

Explanation

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Which of the following is a strategy to reduce nursing burnout?

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?