A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Reporting laboratory findings to a member of the client's family.
Notifying the provider of physical examination findings.
Discussing a client's surgical procedure with the nurse manager.
Identifying the client by name when making a referral for home health services.
The Correct Answer is A
A. Reporting laboratory findings to a family member without the client’s consent is a violation of confidentiality, as the client’s health information should not be disclosed to unauthorized individuals.
B. Notifying the provider of physical examination findings is within the nurse's duty of care and does not violate confidentiality.
C. Discussing the client's care with the nurse manager, especially in a supervisory context, does not violate confidentiality, provided it's within the scope of professional communication.
D. Identifying the client by name when making a referral is a necessary part of care coordination and does not violate confidentiality when handled appropriately.
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Correct Answer is D
Explanation
A. While explaining risks and benefits can be useful, the client's decision to withdraw consent takes precedence, and they should not be pressured to continue with the procedure.
B. Discussing alternatives is unnecessary if the client has already decided against the procedure, as their autonomy should be respected.
C. Reminding the client about the signed consent form is not appropriate, as informed consent can be withdrawn at any time prior to the procedure.
D. Informing the provider that the client is withdrawing consent is essential, as it ensures that the client's wishes are respected and prevents the procedure from proceeding against the client’s current decision.
Correct Answer is B
Explanation
A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.
B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.
C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.
D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.