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When communicating with a hearing-impaired patient, the nurse appropriately:

A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared. Confidentiality must be maintained regardless of assurances from others; sharing patient information outside a professional context is a violation of privacy.

B. Nurse has not violated the confidentiality of the patient because the patient is terminal; sharing this information will not harm the patient. Confidentiality must be maintained regardless of the patient's condition. Privacy and confidentiality are ethical requirements for all patients, terminal or otherwise.

C. Nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career. While promoting the profession is valuable, using a patient’s personal information is inappropriate and unprofessional. There are ethical ways to promote nursing without breaching confidentiality.

D. Nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor. Sharing patient information with someone who is not involved in the patient’s care violates HIPAA and confidentiality standards. This action is unprofessional and unethical.

A. Uses short, simple sentences.
Short, simple sentences are easier to understand and support clear communication.

B. Shouts repeatedly at the patient.
Shouting can distort sounds and may be uncomfortable or disrespectful for the patient.

C. Speaks directly into the patient's ear.
Speaking directly into the ear is not appropriate as it can invade personal space and may not improve understanding.

D. Uses long, complex sentences.
Long sentences may be harder for the patient to understand, especially if lip-reading is being used.