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.
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Related Questions
Correct Answer is B
Explanation
A. Educator: This role involves teaching clients about their health conditions, treatments, and self-care, but it does not primarily focus on protecting the client or supporting their decisions.
B. Advocate: This role involves protecting the client's rights, supporting their decisions, and ensuring that their needs and preferences are respected in the healthcare setting.
C. Caregiver: This role involves providing direct care and performing tasks related to the client's well-being, but it does not focus specifically on advocacy or protecting client rights.
D. Manager: This role involves organizing and overseeing care, coordinating with other healthcare professionals, and ensuring that resources are used effectively, rather than focusing on advocacy and client protection.
Correct Answer is B
Explanation
A. Admission assessment of a new client: This task is typically performed by a registered nurse (RN) as it requires comprehensive assessment skills.
B. Scheduling a diagnostic study for a client: This is an appropriate task to delegate to an LPN as it involves administrative duties rather than clinical assessment.
C. Teaching a client insulin injection technique: Teaching complex procedures, such as insulin injection, generally falls under the responsibilities of an RN due to the need for comprehensive client education.
D. Evaluating changes to a client's pressure ulcer: This task requires a detailed assessment and clinical judgment, which is typically performed by an RN.
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