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 A
Explanation
A. Logging off the computer after entering client data is appropriate as it ensures client confidentiality and protects sensitive information.
B. Posting a client's medical diagnosis in a public area like a message board violates patient confidentiality and privacy regulations.
C. Discarding a nursing activity worksheet without proper disposal methods may lead to breaches in confidentiality, especially if it contains patient information.
D. Sharing a password compromises the security of the system and client information, which is against ethical guidelines and facility policies.
Correct Answer is D
Explanation
A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.
B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.
C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.
D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.