A charge nurse is working on a medical-surgical unit.

For which of the following nurses' actions should the charge nurse recognize the need to intervene for breach of confidentiality? Select all that apply.

Nurse 3

Nurse 2

Nurse 1

Nurse 5

Nurse 4

Answer and Explanation

Correct Answer : B,C

Rationale:
A. Nurse 3 was providing CPR at the family's request and following the client’s wishes regarding DNR status. There is no breach of confidentiality in this action.

B. Nurse 2 left a computer logged in, which allowed another provider to access client information using the nurse’s active login. This is a breach of confidentiality because it allowed unauthorized access to protected health information (PHI). Nurses should always log off or lock computers when unattended.

C. Nurse 1 disclosed information about a client admitted from the emergency department to another client, sharing details about their injury. This is a breach of confidentiality because the nurse shared private client information with someone not involved in the client’s care.

D. Nurse 5 administered pre-operative medication and explained surgery details without ensuring the client’s questions were answered. While this is a consent and patient rights issue, it does not constitute a breach of confidentiality.

E. Nurse 4 allowed a roommate to interpret medication instructions instead of using a professional interpreter. This is a violation of patient rights and informed consent, but it is not primarily a breach of confidentiality since the client’s information was communicated to someone already in the room with them, with consent implied.

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Correct Answer is D

Explanation

Rationale:
A. While healthcare personnel should have baseline tuberculosis (TB) screening, it is not the nurse’s responsibility to ensure staff undergo testing at the time of admitting a client. This is part of occupational health protocols.

B. Placing a sign on the door with the diagnosis is not appropriate because it violates client confidentiality. Instead, isolation precautions should be followed without publicly disclosing the diagnosis.

C. Informing household members directly about their need for treatment is outside the nurse’s scope of practice. Public health authorities handle contact tracing and notification to ensure confidentiality and proper follow-up.

D. Notifying the public health department is the correct action. TB is a reportable communicable disease, and public health authorities are responsible for monitoring, controlling the spread of infection, and coordinating contact investigation and treatment.

A. Request that the coworker complete an incident report. B. Submit an incident report to the risk manager C. File an anonymous report of the incident to the nurse manager D. Document a factual account of the incident. E. Identify all witnesses to the incident

Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Requesting that the coworker complete an incident report is inappropriate. The responsibility for reporting improper handling of controlled substances falls on the witness and the facility’s reporting system, not the person who committed the violation.

B. Submitting an incident report to the risk manager is correct. The risk manager ensures the incident is formally documented, reviewed, and addressed according to facility policy and regulatory requirements, preventing future errors and ensuring accountability.

C. Filing an anonymous report is not the preferred method. Reports should be factual, signed, and traceable to ensure proper follow-up, investigation, and legal compliance.

D. Documenting a factual account of the incident in objective terms is essential. Documentation should include what was observed, the time, date, and actions taken, avoiding opinions or assumptions.

E. Identifying all witnesses ensures a complete and accurate account of the incident. Witnesses can corroborate facts during investigation and support accountability.

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A charge nurse is working on a medical-surgical unit. For which of the following nurses' actions should the charge nurse recognize the need to intervene for breach of confidentiality? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has tuberculosis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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A charge nurse is working on a medical-surgical unit.

For which of the following nurses' actions should the charge nurse recognize the need to intervene for breach of confidentiality? Select all that apply.