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. This option implies that the nurse would be accountable without sharing responsibility, which is not accurate. The nurse remains responsible for the overall care, even when delegating tasks.
B. This option indicates that the nurse would be accountable but free from responsibility, which is incorrect as the nurse retains both aspects.
C. This implies that the nurse would be responsible for patient care but without accountability, which does not reflect the true nature of nursing responsibilities.
D. The nurse is responsible for patient wellbeing and accountable for the care provided, even when tasks are delegated to unlicensed personnel.
Correct Answer is C
Explanation
A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.