A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:
Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.
nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.
nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.
nurse has not violated the confidentiality of the patient because the patient is terminal: sharing this information will not harm the patient.
The Correct Answer is C
A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.
Explanation: Even if the nurse's neighbor is considered a confidante, sharing specific patient information is still a breach of confidentiality. Healthcare professionals are obligated to follow strict guidelines regarding patient privacy, and sharing patient details with anyone outside the healthcare team, even if they promise not to share it further, is not ethically permissible.
B. The nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.
Explanation: While it's positive for nurses to encourage others to pursue nursing, this should not involve sharing private patient information. There are many appropriate ways to promote the nursing profession, such as discussing the rewards of the job, the educational paths, or the impact nurses have on patient care. Patient confidentiality, however, should never be compromised in such attempts.
C. The nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.
Explanation: This is the correct choice. As mentioned earlier, patient confidentiality is a fundamental ethical and legal principle in healthcare. Disclosing personal patient information to unauthorized individuals, even if unintentional or with good intentions, is a violation of this principle.
D. The nurse has not violated the confidentiality of the patient because the patient is terminal: sharing this information will not harm the patient.
Explanation: A patient being terminal does not change the rules of confidentiality. Regardless of a patient's condition, their right to privacy remains intact. Sharing information about a patient's terminal status without proper authorization is still a breach of confidentiality and is not considered ethical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The case management system:
Case management involves coordinating comprehensive healthcare services for patients across different settings and healthcare professionals.
This choice doesn't describe the specific style of documentation used in the scenario provided.
B. SOAP Note:
Subjective: Information reported by the patient, like feelings or symptoms.
Objective: Observable and measurable data, such as physical examination findings.
Assessment: The nurse's professional judgment about the patient's condition.
Plan: Interventions and treatments planned for the patient.
In the scenario, the documentation includes subjective information (patient denies itching, happy with improvement), objective data (rash fading, no visible hives), the nurse's assessment (skin integrity improving), and the plan (check rash daily until discharge). This aligns with the structure of a SOAP note.
C. Narrative style:
Narrative charting involves writing out the patient's story in a paragraph form.
While it can contain similar information to a SOAP note, it doesn't follow the structured format of SOAP (Subjective, Objective, Assessment, Plan) and tends to be more detailed and descriptive.
D. Charting by exception:
Charting by exception involves documenting only abnormal findings or significant events.
This method reduces redundant documentation, focusing on deviations from the expected or normal findings.
The scenario provides a mix of both normal (improvement in skin, patient satisfaction) and abnormal (initial rash and hives) findings, so it's not solely charting by exception.
Correct Answer is C
Explanation
A. Memorizing class notes for tests and studying all night for big tests:
This approach focuses on memorization and last-minute cramming for exams, which doesn't necessarily develop critical thinking skills. It's more about rote learning.
B. Questioning every statement made by instructors to be sure of its correctness:
Questioning and seeking clarification are essential parts of developing critical thinking skills. It's important to question and analyze information critically to ensure its accuracy and relevance.
C. Listening attentively and focusing on the speaker's words and meaning:
Active listening and focusing on understanding the meaning behind what's being said are important aspects of developing critical thinking. It's about comprehending the context and depth of information.
D. Working with an inexperienced nurse:
Working with experienced professionals, even if they're inexperienced nurses, can provide opportunities for real-world problem-solving and critical thinking. In healthcare, learning often occurs through hands-on experience and mentorship.
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