A nurse is reinforcing teaching about client confidentiality with a newly licensed nurse.
Which of the following actions should the nurse include in the teaching?
Place clipboards containing client information facing down.
Post routine intake and output on the message boards in client rooms.
Fax confidential client information without a cover sheet.
Dispose of contents containing client health information in the trash before leaving the unit.
The Correct Answer is A
Choice A rationale
Placing clipboards with client information facing down prevents unauthorized viewing, thereby adhering to confidentiality laws such as HIPAA. It reduces the likelihood of accidental breaches of sensitive information when in public or shared spaces.
Choice B rationale
Posting intake and output on message boards breaches confidentiality as it exposes personal health information to anyone in the room. This violates privacy regulations like HIPAA and compromises client trust in the healthcare system.
Choice C rationale
Faxing confidential information without a cover sheet increases the risk of unauthorized access if the fax is received by unintended parties. A cover sheet is a standard practice to safeguard client data and ensure legal compliance.
Choice D rationale
Disposing of client information in the trash without proper shredding allows potential retrieval and misuse of sensitive data. It is essential to follow facility protocols for secure disposal, like using designated shredders for healthcare documents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Eye patch dressings should typically be changed daily or as directed by a physician. Extending this to 48 hours risks accumulation of debris and infection, compromising healing following cataract surgery.
Choice B rationale
Bending at the waist increases intraocular pressure, which can disrupt healing after cataract surgery. Clients are instructed to avoid positions that strain the eye, ensuring proper recovery and minimizing complications.
Choice C rationale
Consuming low-fiber foods does not relate to cataract surgery recovery. Instead, clients are advised on hydration, nutrition, and avoiding activities that strain the body to promote effective healing.
Choice D rationale
Removing an eye shield before bedtime contradicts recovery guidelines, as the shield protects the eye during sleep. Clients are encouraged to wear the shield as directed to prevent accidental injury or contamination.
Correct Answer is D
Explanation
Choice A rationale
Speaking with other clients may inadvertently breach confidentiality. Additionally, client frustration with therapy often needs individualized attention to explore concerns, address misunderstandings, and rebuild trust.
Choice B rationale
Telling the client they cannot leave without a discharge prescription could infringe on their right to autonomy. Clients have the right to leave AMA (against medical advice) after understanding associated risks.
Choice C rationale
Informing the client that no additional treatment will be provided upon return is coercive and unprofessional. Healthcare professionals must maintain open access to care, even if the client initially refuses recommended therapy.
Choice D rationale
Having the provider discuss the care plan directly with the client can address misunderstandings about therapy and promote collaboration. This approach respects the client’s autonomy while clarifying potential risks of leaving.
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