A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make? Select all that apply.

"The State Board of Nursing can reprimand you for a breach of client confidentiality."

"The civil penalties for breach of confidentiality can include imprisonment."

"A breach in confidentiality is considered an act of professional negligence.”

"Your institution can receive monetary fines for a breach in confidentiality."

"Your employer can terminate your employment if there is a breach in confidentiality."

Answer and Explanation

Correct Answer : A,D,E

A. "The State Board of Nursing can reprimand you for a breach of client confidentiality." The State Board of Nursing has the authority to discipline nurses for violations of professional conduct, including breaches of confidentiality. Consequences can include reprimands, fines, license suspension, or revocation.

B. "The civil penalties for breach of confidentiality can include imprisonment." Civil penalties typically involve monetary damages rather than imprisonment. Criminal penalties, such as jail time, may apply only in severe cases, such as intentional misuse of protected health information (PHI) for personal gain.

C. "A breach in confidentiality is considered an act of professional negligence." While breaching confidentiality is a serious ethical and legal violation, it is not classified as professional negligence, which refers to failure to provide standard care resulting in harm. A breach of confidentiality is more accurately categorized as a violation of privacy laws, such as HIPAA.

D. "Your institution can receive monetary fines for a breach in confidentiality." Healthcare institutions are subject to fines and penalties under laws such as HIPAA if they fail to protect client confidentiality. These fines can be significant, depending on the severity and intent of the breach.

E. "Your employer can terminate your employment if there is a breach in confidentiality." Employers enforce strict confidentiality policies, and violations can result in disciplinary actions, including termination. Organizations must uphold patient privacy to maintain compliance with federal and state regulations.

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Correct Answer is D

Explanation

A. Decreased peripheral pulses. Fever leads to vasodilation and increased cardiac output, which generally enhances peripheral blood flow. As a result, peripheral pulses are more likely to be strong and bounding rather than decreased.

B. Dilated pupils. Pupil dilation is associated with sympathetic nervous system activation, often due to stress, fear, or certain medications. Fever alone does not typically cause pupil dilation, making this an unlikely expected finding.

C. Respiratory rate 10/min. Fever usually increases metabolic demand, leading to a higher respiratory rate (tachypnea) rather than a lower one. A respiratory rate of 10 breaths per minute would be considered bradypnea, which is not a typical response to fever.

D. Heart rate 108/min. Fever stimulates the sympathetic nervous system, increasing heart rate (tachycardia) to meet the body’s higher metabolic and oxygen demands. A heart rate of 108/min is expected in response to a fever of 39°C (102.2°F).

A. Demographic data B. Billing payments C. Driver's license D. Facility policies

Correct Answer is A

Explanation

A. Demographic data. An electronic health record (EHR) includes demographic information such as the client’s name, date of birth, contact details, and medical history. This data helps healthcare providers personalize care and ensure accurate record-keeping.

B. Billing payments. While healthcare facilities may have electronic billing systems, financial transactions and payments are not considered a core component of the EHR, which primarily focuses on clinical documentation and patient care.

C. Driver's license. A driver's license may be used for identity verification during registration, but it is not a required component of an EHR. Identifying information is documented separately from clinical records.

D. Facility policies. EHRs store patient-related health information rather than institutional policies. Facility policies are typically maintained in administrative systems or policy manuals, separate from patient medical records.

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A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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