A nurse is caring for a client on a medical-surgical unit. Which of the following actions should the nurse take to maintain the client's confidentiality?
List the client's name and condition on board at the nurses' station.
Fax client information with a cover sheet.
Discuss the client's condition with a nurse on another unit.
Post client diagnosis on message board in their room.
The Correct Answer is B
Rationale
A. List the client's name and condition on board at the nurses' station: Displaying client information in a public area can be seen by unauthorized personnel or visitors, violating confidentiality. Sensitive information should never be visible to others not involved in the client’s care.
B. Fax client information with a cover sheet: Using a cover sheet when faxing ensures that client information is protected from unauthorized viewing. This method complies with privacy regulations and maintains confidentiality during necessary communication.
C. Discuss the client's condition with a nurse on another unit: Sharing client information with staff not involved in the client’s care can violate confidentiality. Discussions should be limited to team members directly responsible for the client or conducted through secure channels.
D. Post client diagnosis on message board in their room: Posting sensitive information where others might see it, including visitors or other clients, breaches confidentiality. Personal health information should only be accessible to authorized caregivers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,A,E,D,C
Explanation
Correct Answer is C
Explanation
Rationale
A. Encourage the oncoming shift nurse to contact the provider with any questions: While the oncoming nurse may need to contact the provider, relying on this step alone does not ensure a comprehensive or standardized handoff. Important information may be missed if the report is informal or incomplete.
B. Record a verbal report on a recorder for the oncoming nurse to listen to: Using a recording is not ideal because it prevents real-time clarification and questions. Direct communication is necessary to address immediate concerns and confirm understanding for safe continuity of care.
C. Use a standardized approach to giving the handoff report: Utilizing a standardized method, such as SBAR (Situation, Background, Assessment, Recommendation), ensures that essential information is communicated clearly, consistently, and completely. This approach reduces errors and promotes continuity of care between shifts.
D. Provide the handoff report at the nurses' station: Providing a report at the nurses’ station may compromise privacy and lead to distractions. Bedside handoff or a private setting allows for a more thorough and interactive exchange of information, supporting safety and continuity.
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