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.)
An assistive personnel is informing a friend of the client about their condition.
A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present.
An assistive personnel logs out of the computer prior to responding to a call light.
A nurse is faxing data about a client to a preferred provider.
A nurse is reviewing an electronic list of all clients admitted to the unit.
Correct Answer : A,B,E
A. This is a clear breach of confidentiality as sharing client information with individuals who are not part of the healthcare team and without the client's consent violates patient privacy.
B. Discussing a client’s condition in a public area where unauthorized individuals (like visitors) can overhear is a breach of confidentiality. Patient information should be discussed in private settings to protect the client's privacy.
C. This action is a good practice to protect patient information and does not breach confidentiality.
D. This is acceptable as long as proper protocols are followed, such as using secure fax lines and confirming that the receiving party is authorized to receive the information. This action does not inherently breach confidentiality.
E. If the nurse is not involved in the care of all those clients and does not have a legitimate reason to access that information, this action can also be considered a breach of confidentiality. Healthcare providers should only access information relevant to their role and responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"I will have a client who is on airborne precautions wear a mask when out of her room." This statement demonstrates understanding of airborne precautions. Clients on airborne precautions, such as those with tuberculosis or measles, should wear a mask when they leave their room to prevent the spread of infectious droplets.
Choice B Reason:
"I will place a client who has compromised immunity in a negative-pressure airflow room." While placing a client with compromised immunity in a negative-pressure airflow room may be appropriate in some cases to reduce the risk of exposure to pathogens, it is not a standard precaution and is not applicable to all clients with compromised immunity.
Choice C Reason:
"I will instruct visitors to wear a mask when visiting a client who is on contact precautions." This statement indicates an understanding of contact precautions. Visitors should wear appropriate personal protective equipment, such as gloves and gowns, when visiting clients on contact precautions to prevent the transmission of infectious agents.
Choice D Reason:
"I will wear an N95 respirator mask when caring for a client who is on droplet precautions." This statement demonstrates understanding of droplet precautions. Healthcare providers should wear a surgical mask when caring for clients on droplet precautions, as it helps prevent the transmission of respiratory droplets generated by the client through coughing, sneezing, or talking. N95 respirator masks are typically reserved for airborne precautions.
Correct Answer is D
Explanation
Choice A Reason:
Good Samaritan Act is incorrect. The Good Samaritan Act typically provides legal protection to individuals who provide assistance during emergency situations, but it does not specifically address consent for medical treatment. It protects individuals from liability when providing reasonable assistance in emergency situations.
Choice B Reason:
Nonmaleficence is incorrect. Nonmaleficence is an ethical principle that emphasizes the obligation to do no harm. While it guides healthcare professionals in prioritizing patient safety and well-being, it does not provide legal authority to proceed with medical treatment without consent.
Choice C Reason:
Living will is incorrect. A living will be a legal document that outlines an individual's preferences for medical treatment in the event that they are unable to communicate their wishes. However, if the client's living will does not specifically address the circumstances of emergency surgery, it may not apply in this situation.
Choice D Reason:
Implied consent is correct. Implied consent allows healthcare providers to proceed with necessary medical treatment when it is reasonable to assume that the patient would consent if they were able to do so. In emergency situations where a patient is unconscious or unable to provide consent, and efforts to reach family members are unsuccessful, healthcare providers may proceed with treatment based on the principle of implied consent to prevent further harm or loss of life.
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