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 B
Explanation
A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.
B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.
C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.
D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.
Correct Answer is D
Explanation
A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.