A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

“I should encrypt personal health information when sending emails.”

“I can use another nurse’s password as long as I log off after using the computer.”

“I should discard personal health information documents in the trash before leaving the unit.”

“I can post the client’s vital signs in the client’s room.”

Answer and Explanation

The Correct Answer is A

a. "I should encrypt personal health information when sending emails."

This statement indicates an understanding of the importance of protecting confidential information during electronic communication. Encrypting personal health information in emails adds an extra layer of security to prevent unauthorized access.

b. "I can use another nurse’s password as long as I log off after using the computer."

This statement is incorrect and demonstrates a lack of understanding of client confidentiality. Sharing passwords is a violation of security policies and compromises the confidentiality of client information. Each nurse should have their unique login credentials to ensure accountability and traceability.

c. "I should discard personal health information documents in the trash before leaving the unit."

This statement is incorrect. Discarding personal health information in an unsecured manner, such as in the regular trash, can lead to unauthorized access and a breach of confidentiality. Proper disposal methods, such as shredding or using secure disposal containers, should be followed to protect sensitive information.

d. "I can post the client’s vital signs in the client’s room."

This statement is incorrect. Posting client information, including vital signs, in a public area like the client's room violates confidentiality. Personal health information should be shared only with authorized individuals involved in the patient's care and through secure communication methods. Posting such information in a public space compromises the client's privacy.

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Correct Answer is B

Explanation

a. A visitor experiences a minor burn after spilling coffee:

This situation does not present an ethical dilemma. It is a minor accident that can be addressed through appropriate first aid and safety measures.

b. A parent wants her 14-year-old adolescent to receive radiation treatment against his will:

This situation involves a conflict between parental authority and the autonomy of the adolescent. It raises questions about the adolescent's capacity to make medical decisions, the role of parental consent, and the rights of the adolescent to refuse treatment. Therefore, it represents an ethical dilemma.

c. A nurse witnesses another nurse administer an incorrect medication:

While this situation involves patient safety and professional responsibility, it does not inherently pose an ethical dilemma. It is a matter of patient safety and adherence to professional standards rather than conflicting moral principles.

d. A client receives an operation on the wrong side of her body:

This situation represents a serious medical error and a violation of patient safety protocols. While it may have ethical implications related to accountability, negligence, and patient harm, it primarily involves issues of medical error rather than a true ethical dilemma.

A. You must choose a member of your family to serve as you health care proxy B. A health care proxy can make decisions for you when you are unable to do so C. You should appoint a health care proxy before undergoing an invasive procedure D. It is necessary for an attorney to approve your healthcare proxy

Correct Answer is B

Explanation

a. "You must choose a member of your family to serve as your health care proxy":

This response is not accurate. While family members are often chosen as healthcare proxies, the client is not required to select a family member. The most important consideration is choosing someone who understands the client's healthcare wishes and is willing and able to advocate for them. The nurse should emphasize the importance of selecting a trusted individual, whether they are a family member or not.

b. "A health care proxy can make decisions for you when you are unable to do so":

This response is accurate. A healthcare proxy is a legal document that allows an individual to appoint someone else to make healthcare decisions on their behalf if they become unable to do so due to illness or incapacity. The nurse should explain the role of a healthcare proxy in advocating for the client's wishes and ensuring that their healthcare preferences are honored.

c. "You should appoint a health care proxy before undergoing an invasive procedure":

While it is advisable for clients to have advance directives, including a healthcare proxy, in place before undergoing any medical procedure, this response does not fully address the client's question. The timing of appointing a healthcare proxy should not be limited to specific medical procedures but should be based on the client's readiness to make such decisions and their recognition of the importance of having a designated advocate for their healthcare needs.

d. "It is necessary for an attorney to approve your health care proxy":

This response is not accurate. While it may be helpful to seek legal advice when creating advance directives, including a healthcare proxy, it is not a requirement for an attorney to approve the document. The client can typically complete a healthcare proxy form themselves, following the legal requirements of their jurisdiction. However, consulting with an attorney can provide additional guidance and ensure that the document is properly executed.

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A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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