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 faxing data about a client to a referred provider.
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 reviewing an electronic list of all clients admitted to the unit.
An assistive personnel is informing a friend of the client about their condition.
Correct Answer : C,D,E
A. Faxing client information to a referred provider is not a breach of confidentiality as long as appropriate safeguards (e.g., cover sheet, correct fax number) are used.
B. Logging out of the computer before leaving maintains confidentiality and is appropriate practice.
C. This can expose protected health information to unauthorized individuals and is a breach of confidentiality.
D. If the nurse is not involved in the care of all those clients, accessing that information violates the "minimum necessary" standard under HIPAA.
E. Sharing client information with anyone not authorized by the client is a clear breach of confidentiality.
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Related Questions
Correct Answer is B
Explanation
A.Setting up in-home physical therapycan support long-term function but is not the most immediate concern.
B. Since the client has a new diagnosis of COPDand lives alone, ensuring their home environment is safeis the priorityto reduce fall risk, ensure access to oxygen if needed, and prevent complications.
C.Providing printed materialsis important for education but not the highest priority for safety.
D.Suggesting a support grouphelps with emotional needs but is a lower priority than ensuring the client’s immediate physical safety at home.
Correct Answer is D
Explanation
A.Assisting with ambulation is part of routine nursing care, not specifically an act of advocacy.
B.Reorienting the client helps with confusion but is also standard care for clients with cognitive impairment.
C.Performing a cognitive assessment is part of the nurse’s assessment role and does not involve speaking or acting on the client's behalf.
D. This demonstrates advocacy by promoting therapies that support the client's cognitive and emotional well-being. The nurse is taking action to support the client's preferences and needs beyond routine care.
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