Author Question: Which action by a nurse shows a breach of a patient's right to privacy? a. Documents the ... (Read 60 times)

abarnes · **on:** Jul 19, 2018

Which action by a nurse shows a breach of a patient's right to privacy?

a. Documents the patient's daily behaviors during hospitalization
b. Releases information to the patient's employer without consent
c. Discusses the patient's history with other staff during care planning
d. Asks family to share information about a patient's prehospitalization behavior

Question 2

A patient, aged 77 years, has Alzheimer's disease. She goes to day care during the week and is otherwise cared for by her daughter and grandchildren.

The nurse at the day care center noticed multiple bruises on the patient's palms, elbows, and buttocks. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated, My mother is not my mother anymore. She is confused, and she wanders all night. We have to watch her constantly. Last night I fell asleep, and she fell down the stairs. Sometimes she cannot recognize me and accuses me of trying to poison her. I can't concentrate at work, and it's wrecking the family. Sometimes I just cannot bear it.. Which nursing diagnosis would be most important to address for this family? a. Knowledge deficit pertaining to dementia
b. Grieving related to mother's deterioration
c. Risk for injury related to cognitive impairment
d. Caregiver role strain related to increased care needs

Kdiggy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Release of information without patient authorization violates the patient's right to privacy. The other options are acceptable nursing practices.

Answer to Question 2

D
Caregiver role strain is evidenced by the daughter's impaired function at work, the level of distress within the family, and the helplessness experienced by the patient's daughter. It would be the priority diagnosis, since both the family and the patient are at psychological and physiological risk until it is resolved.