NCLEX-RN

Category - Safety

It is the nurse’s responsibility to ensure the client’s confidentiality at all times. Nurse Carla is caring for Sam Welsh. Nurse Carla’s neighbor, Alec Welsh, is the cousin of Sam. When Alec asks about Sam’s condition, Nurse Carla should promptly respond with which of the following?
  1. “I do not have the liberty to disclose any information about the client; you can probably call his executor or next of kin for any update.”
  2. “I can’t disclose any information about the client’s condition, but he can now accept visitors on the 4th floor.”
  3. “The client is doing well; however, he may still be in danger if his blood pressure stays low.”
  4. “I know that you’re really close, maybe you can come visit him today.”
Explanation
Answer: A - Federal law requires all the members of the health care team directly or indirectly concerned with the client’s care to ensure the client’s privacy and confidentiality at all times, unless required by court order or allowed by the client himself. Options B and C are examples of breaches of confidentiality.
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