Which situation is an exception to the rule of maintaining patient confidentiality?

Sharing patient information with a family member without consent.

Talking about patient care in a public setting where others might overhear.

Releasing information to authorities if the patient poses a threat to themselves or others.

Discussing patient details with another healthcare provider who is not involved in the patient's care.

Answer and Explanation

The Correct Answer is C

A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.

B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.

C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.

D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.

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Correct Answer is C

Explanation

A. Bias: Bias is a personal or systemic prejudice, not an ethical principle.

B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.

C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.

D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.

A. Orientation phase B. Identification phase C. Resolution phase D. Working phase

Correct Answer is D

Explanation

A. Orientation phase : The orientation phase is when trust begins to form but is not yet solidified.

B. Identification phase: During this phase, the client begins to work with the nurse but has not yet fully accepted interventions.

C. Resolution phase: This phase is the termination of the nurse-client relationship, where trust has already been established.

D. Working phase: The working phase is when trust is fully developed, and the client actively engages in the care process.

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Which situation is an exception to the rule of maintaining patient confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

Correct Answer is C

Explanation

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

Correct Answer is D

Explanation

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?