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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. I will check your medication order again: This response addresses the client's concern by verifying that the medication is correct and reassures the client by ensuring that the prescribed medication matches their expectation.
B. Sometimes the same pill comes in a different color: While this might be true, this response does not directly address the client’s concern about the specific medication they are supposed to take.
C. Let me explain the purpose of the medication: This response is helpful but does not address the client's concern about the discrepancy in the medication's appearance.
D. This is the medication that your doctor wants you to take: This response may not resolve the client's concern about the pill's color and does not involve verifying the medication’s accuracy.
Correct Answer is ["A","D","E"]
Explanation
A. Question any part of the order that is unclear or inappropriate: It is important to clarify any ambiguities or inaccuracies in the prescription to ensure patient safety and proper treatment.
B. Transcribe the order into the client's health record: While this is a necessary step, it is not sufficient on its own to ensure the accuracy of the telephone prescription without verification.
C. Implement a recorded order message if the nurse can hear and understand it clearly: Implementing a recorded message is not typically part of standard protocol for ensuring accuracy.
D. Repeat the order back to the provider: This is a critical step to confirm that the order was understood correctly and to avoid errors.
E. Obtain the provider's signature within 8 hr: It is required to obtain the provider's signature on the written order within a specific timeframe (usually within 24 hours) to comply with legal and institutional policies.
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