The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Ms. Jones in room 312 doing?" Which response by the nurse would be most appropriate?
"Let's step away from the area to discuss it."
"You will have to speak to the nurse caring for her while I am on break."
"I do not know because I am off duty right now."
"Ms. Jones was fine when I last checked on her during rounds."
The Correct Answer is A
Choice A reason: This response is appropriate because it maintains client confidentiality by suggesting to move away from the crowded area before discussing private information. It shows respect for the client's privacy and adheres to HIPAA regulations.
Choice B reason: While this response directs the health care provider to the appropriate person, it does not address the immediate need for privacy. It is important to ensure that any discussion about the client is done in a confidential manner.
Choice C reason: This response is not ideal because it can come across as dismissive and does not offer to address the situation appropriately. Ensuring client confidentiality should remain a priority even if the nurse is off duty.
Choice D reason: This response violates client confidentiality by sharing information about the client's condition in a public setting. It is crucial to discuss such details in a private area to protect the client's privacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The red category in the START triage system is assigned to clients who require immediate life-saving intervention. Although this client is in pain and has severe symptoms, their respiratory rate, pulse, and capillary refill are normal, indicating that they do not need immediate life-saving intervention.
Choice B reason: The yellow category is designated for clients whose condition is stable but requires observation. This client is awake, alert, and oriented, with a normal respiratory rate, good radial pulse, and normal capillary refill. While they have severe abdominal pain and nausea, their condition does not appear to be life-threatening, making yellow the appropriate triage level.
Choice C reason: The black category is used for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so they do not fall into this category.
Choice D reason: The green category is for clients with minor injuries who can walk and do not require urgent medical attention. Since this client has severe symptoms and needs medical attention, the green category is not appropriate.
Correct Answer is B
Explanation
Choice A reason: Libel refers to written statements that are false and damaging to a person's reputation. In this scenario, since the nurses are speaking and not writing, libel is not applicable.
Choice B reason: Invasion of privacy pertains to disclosing private information about an individual without their consent. Discussing a client's medical condition in a public place such as the hospital cafeteria where others can overhear constitutes an invasion of privacy. The client’s right to confidentiality has been violated, which could lead to a formal complaint.
Choice C reason: Slander involves spoken statements that are false and damaging to a person's reputation. While the nurses are speaking, there is no indication that what they are saying is false, so slander is not the applicable concern in this situation.
Choice D reason: Defamation is a broad term that includes both libel and slander, which are false statements made to damage someone's reputation. As mentioned earlier, there is no indication that the statements made by the nurses are false; rather, the issue is the inappropriate sharing of private information.
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