A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

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

Reporting laboratory findings to a member of the client's family

Discussing a client's surgical procedure with the nurse manager

Notifying the provider of physical examination findings

Answer and Explanation

The Correct Answer is B

A. Identifying the client by name when making a referral for home health services: This action is generally permissible if done in the context of necessary care coordination and with appropriate privacy measures in place.

B. Reporting laboratory findings to a member of the client's family: This action violates confidentiality unless the client has given explicit consent for the release of such information.

C. Discussing a client's surgical procedure with the nurse manager: This is usually acceptable within the healthcare team, provided it is done for care coordination or quality improvement purposes and the information is kept confidential.

D. Notifying the provider of physical examination findings: This action is part of standard care procedures and is necessary for the provider to make informed decisions about the client's treatment.

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Correct Answer is A

Explanation

A. Specific characteristics of the medications: This is correct. The primary consideration for determining the medication schedule is the specific characteristics of each medication, including its pharmacokinetics, such as how often it should be administered and whether it needs to be taken with food or at certain times of the day.

B. Time at which the medication can be available from the pharmacy: While this may affect the timing of administration, it is not the primary factor. Medications should be scheduled based on their specific requirements for effectiveness and safety, regardless of pharmacy availability.

C. Institutional policies regarding routine medication administration times: Although institutional policies may provide guidelines for routine administration, they should be adjusted based on the specific needs of the medication and the client.

D. Schedule of administration that the client follows at home: While this may be relevant for maintaining continuity of care, the primary factor in determining the administration schedule should be the specific characteristics and requirements of the medications themselves.

A. The client has not been taking the medication properly B. The client has become addicted to the medication C. The client developed a tolerance to the medication D. The client is experiencing episodes of confusion

Correct Answer is C

Explanation

A. The client has not been taking the medication properly: Increased dosage is usually due to the body's adaptation to the medication, not improper use.

B. The client has become addicted to the medication: Addiction is characterized by compulsive use, not necessarily by increased dosage for pain relief.

C. The client developed a tolerance to the medication: Tolerance occurs when the body becomes used to a drug, necessitating higher doses to achieve the same effect, which explains the need for a dosage increase.

D. The client is experiencing episodes of confusion: Confusion is not a typical explanation for needing an increased dose of morphine; it may indicate another issue requiring separate assessment.

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A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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