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 C
Explanation
A. The nurse tells the patient not to worry about the surgery: This response dismisses the patient's concerns and does not engage in active listening. It does not encourage the patient to express their feelings or concerns.
B. The nurse assures the patient that the surgeon is very experienced: While this response provides information, it does not actively listen to the patient's concerns. It might be reassuring, but it doesn't engage in a deeper understanding of the patient's feelings.
C. The nurse asks the patient why they are afraid of surgery: This response demonstrates active listening. By asking the patient to express their fears, the nurse is encouraging the patient to talk about their concerns openly. This fosters a therapeutic relationship and allows the nurse to better understand the patient's emotions and address their specific worries.
D. The nurse shares her/his own experience of having surgery: Sharing personal experiences can sometimes be helpful, but in this context, it doesn't actively listen to the patient. It shifts the focus away from the patient's concerns to the nurse's experiences, which might not be relevant or helpful to the patient.
Correct Answer is C
Explanation
A. Assessment:
Explanation: Assessment is the first step in the nursing process. It involves gathering information about the patient's health status. This can include a patient's medical history, physical examination, and other vital signs. It's the phase where the nurse collects data to identify the patient's problems or needs.
B. Nursing Diagnosis:
Explanation: Nursing diagnosis is the second step in the nursing process, following assessment. During this step, the nurse analyzes the data collected during the assessment to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
C. Evaluation:
Explanation: Evaluation is the last step in the nursing process. It involves assessing the patient's response to nursing interventions and determining if the goals and outcomes have been met. In the given scenario, the nurse is evaluating whether the pain medication administered 45 minutes ago has had the desired effect and has relieved the patient's pain.
D. Implementation:
Explanation: Implementation is the third step in the nursing process. During this phase, the nurse carries out the care plan that was designed during the planning phase. This can involve a variety of nursing actions, including administering medications, providing treatments, and educating patients. In the context of the scenario, giving pain medication is part of the implementation phase.
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