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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.Pouching an established ostomy is a routine, non-invasive task that can be safely delegated to an assistive personnel.
B.Updating family members about a client’s condition requires nursing knowledge and communication skills and should not be delegated.
C.Reinforcing teaching involves nursing judgment and is not appropriate to delegate to assistive personnel.
D.Demonstrating use of an incentive spirometer requires teaching skills and should be performed by the nurse.
Correct Answer is ["B","D","E"]
Explanation
A.It is the witnessing nurse’sresponsibility to report the incident, not the person who violated protocol.
B. Reporting the improper handling of a controlled substance helps ensure accountability, investigation, and risk management.
C.Filing an anonymous reportis not the most appropriate or accountable action. It may limit follow-up and clarity. Reporting should be done transparently through the proper chain of command.
D. Including witness names supports the integrity of the report and allows for thorough investigation.
E. Objective, detailed documentation is essential for accurate reporting and resolution of safety and legal concerns.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.