A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality (Select all that apply.)
A nurse is reviewing an electronic list of all clients admitted to the unit.
An assistive personnel logs out of the computer prior to responding to a call light.
A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present.
A nurse is faxing data about a client to a referred provider.
An assistive personnel is informing a friend of the client about their condition.
Correct Answer : C,E
A. Reviewing an electronic list of admitted clients is not a breach of confidentiality as long as the nurse has a legitimate reason for accessing the information for patient care purposes.
B. Logging out of the computer before leaving the workstation demonstrates proper protection of electronic health information and is not a breach.
C. Discussing a client’s condition in a public area where a visitor can overhear constitutes a breach of confidentiality because private health information is exposed to unauthorized individuals.
D. Faxing data to a referred provider is appropriate if done securely and only to the intended recipient as part of care coordination. It does not breach confidentiality.
E. Informing a friend of the client’s condition is a clear breach of confidentiality because health information is being shared with someone who is not authorized to receive it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Any event that results in or has the potential to result in harm to staff or clients, such as a client throwing an object at a nurse, requires an incident report. This helps the facility track and prevent workplace safety issues.
B. A visitor injuring themselves, even unintentionally, in the facility constitutes an incident that must be documented to ensure proper follow-up and risk management.
C. Administering a medication 30 minutes late is typically a minor deviation if it does not cause harm. While it should be documented in the medical record, it does not usually require a formal incident report unless harm occurred or a pattern emerges.
D. A client refusing therapy is within their rights and does not represent an incident requiring formal reporting; it should be documented in the medical record instead.
Correct Answer is A
Explanation
A. A red tag indicates emergent or immediate care is required due to life-threatening injuries that are potentially survivable with prompt intervention. These clients take priority in a mass casualty scenario.
B. A green tag indicates minor injuries, often referred to as “walking wounded,” who can safely wait for treatment.
C. A yellow tag indicates urgent but not immediately life-threatening injuries; these clients can tolerate a short delay in care.
D. A black tag indicates expectant or deceased clients, meaning survival is unlikely even with intervention. These clients are not prioritized over emergent cases.
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