A student nurse is assigned a patient to provide care for throughout the day. Which of the following actions would violate client confidentiality?

Providing a detailed SBAR report to the primary nurse

Collaborating with the patient care technician for hygiene care.

Discussing the client's medications with the clinical instructor.

Writing the client's initials on the student care plan.

Answer and Explanation

The Correct Answer is D

A. Providing a detailed SBAR report to the primary nurse: SBAR (Situation, Background, Assessment, Recommendation) is a standard communication tool used among healthcare professionals to ensure continuity of care. Since this report is given to the primary nurse who is part of the healthcare team, it does not violate confidentiality.

B. Collaborating with the patient care technician for hygiene care: Patient care technicians (PCTs) are part of the healthcare team, and sharing necessary patient information with them to ensure hygiene care does not breach confidentiality.

C. Discussing the client's medications with the clinical instructor: A clinical instructor is responsible for overseeing student learning and patient safety. As long as the discussion is conducted in an appropriate setting (e.g., away from unauthorized persons), it does not violate confidentiality.

D. Writing the client's initials on the student care plan: Even using initials instead of a full name can still be considered identifiable information if someone can link it to a specific patient. To maintain confidentiality, students should use de-identified data in their care plans.

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Correct Answer is C

Explanation

A. Inspect the patient's feet for a diabetic ulcer: Patients with obesity are at increased risk for skin breakdown, and foot ulcers may go unnoticed. Early detection prevents complications.

B. Expose the full body to ensure efficiency: Patients should be kept covered as much as possible to maintain dignity, privacy, and body temperature.

C. Encourage the patient to provide self-care: If the patient is able, self-care promotes independence and helps maintain mobility.

D. Apply baby powder to the perineal area and skin folds: Powder can clump and retain moisture, leading to skin irritation and fungal infections, especially in skin folds.

A. "Let me teach you about antibiotics and their usage." B. "Let me talk to the provider and see what we can do." C. "Why do you think you need an antibiotic?" D. “I understand your frustration. You need an antibiotic.”

Correct Answer is A

Explanation

A. "Let me teach you about antibiotics and their usage." This response provides education about antibiotics, including why they are not effective against viral infections. It acknowledges the client’s frustration while promoting understanding.

B. "Let me talk to the provider and see what we can do." This response suggests that the nurse might override the provider’s decision or negotiate an unnecessary prescription, which is inappropriate.

C. "Why do you think you need an antibiotic?" While this question encourages the client to express their thoughts, it may come across as dismissive or challenging rather than supportive.

D. "I understand your frustration. You need an antibiotic." This statement is incorrect because it reinforces a misconception that antibiotics are needed for viral infections, which can contribute to antibiotic resistance.

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A student nurse is assigned a patient to provide care for throughout the day. Which of the following actions would violate client confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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