A nurse is delivering a presentation on client confidentiality to a group of newly licensed nurses. Which of the following actions demonstrates a breach in patient confidentiality?

Discussing a client’s surgical procedure with the case manager.

Reporting laboratory findings to a member of the client’s family.

Identifying the client by name when making a referral for home health services.

Notifying the provider of physical examination findings.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Discussing a client’s surgical procedure with the case manager. This action does not constitute a breach of patient confidentiality as long as the case manager is part of the healthcare team involved in the patient’s care. Sharing relevant information with team members is essential for coordinated and effective patient care.

Choice B Reason:

Reporting laboratory findings to a member of the client’s family. This action is a breach of patient confidentiality unless the patient has given explicit consent for their health information to be shared with that family member. Confidentiality laws, such as HIPAA in the United States, protect patient information and restrict its disclosure without proper authorization. Sharing sensitive health information without consent violates these laws and the patient’s right to privacy.

Choice C Reason:

Identifying the client by name when making a referral for home health services. This action is generally acceptable as long as the referral is made to a healthcare provider or service that will be involved in the patient’s care. Proper identification is necessary to ensure that the patient receives the appropriate services and care.

Choice D Reason:

Notifying the provider of physical examination findings. This action is part of standard medical practice and does not breach patient confidentiality. Communicating examination findings to the provider is essential for accurate diagnosis and treatment planning.

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Correct Answer is C

Explanation

Choice A Reason:

Staff role ambiguity refers to a lack of clarity about job responsibilities and expectations. While role ambiguity can lead to stress and confusion, it is not typically associated with the specific behaviors described, such as neglecting patients and being rude. These behaviors are more indicative of emotional and physical exhaustion, which aligns with burnout.

Choice B Reason:

Staff hardness is not a recognized term in the context of healthcare or nursing. It appears to be a typographical error or a misunderstanding. Therefore, this option is not applicable to the scenario described.

Choice C Reason:

Burnout is a state of emotional, physical, and mental exhaustion caused by prolonged stress and overwork. It is characterized by feelings of cynicism, detachment from work, and a reduced sense of personal accomplishment. The nurse’s behavior of neglecting patients and being rude to older adults is consistent with the symptoms of burnout. Burnout can significantly impact the quality of care provided and the well-being of healthcare professionals. Recognizing and addressing burnout is crucial for maintaining a healthy and effective workforce.

Choice D Reason:

Staff depression involves persistent feelings of sadness, hopelessness, and a lack of interest in activities. While depression can affect job performance and interactions with patients, the specific behaviors described in the scenario—neglecting patients and being rude—are more directly associated with burnout. Depression may coexist with burnout, but the primary issue in this context appears to be burnout due to the prolonged stress and heavy workload.

A. Data, information, and knowledge. B. Decision making, data gathering, and reporting. C. Wireless technology, voice recognition, and handheld devices. D. Hardware, software, and printers.

Correct Answer is A

Explanation

Choice A Reason:

Informatics fundamentally revolves around the management and use of data, information, and knowledge. These three components form the core of informatics, enabling healthcare professionals to make informed decisions and improve patient outcomes. Data refers to raw facts and figures, information is processed data that is meaningful, and knowledge is the application of information to make decisions. This triad is essential for effective informatics practice in nursing, as it supports clinical decision-making and enhances the quality of care.

Choice B Reason:

While decision making, data gathering, and reporting are important aspects of informatics, they are not the fundamental principles. These activities are outcomes of effectively managing data, information, and knowledge. Decision making relies on the availability of accurate information and knowledge, which are derived from well-managed data. Therefore, these activities are secondary to the core principles of data, information, and knowledge.

Choice C Reason:

Wireless technology, voice recognition, and handheld devices are tools used in informatics but are not the fundamental principles. These technologies facilitate the collection, processing, and dissemination of data, information, and knowledge. They enhance the efficiency and effectiveness of informatics practices but do not constitute the core principles themselves. The focus should be on the underlying principles that these technologies support.

Choice D Reason:

Hardware, software, and printers are components of the technological infrastructure used in informatics. While essential for implementing informatics solutions, they are not the fundamental principles. These elements provide the necessary tools and platforms for managing data, information, and knowledge but are not the core concepts of informatics. The principles of data, information, and knowledge are what drive the effective use of these technologies.

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A nurse is delivering a presentation on client confidentiality to a group of newly licensed nurses. Which of the following actions demonstrates a breach in patient confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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