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Author Question: Which of the following statements related to confidentiality made by a nurse requires immediate ... (Read 53 times)

crobinson2013

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Which of the following statements related to confidentiality made by a nurse requires immediate follow-up by the nurse manager?
 
  1. I believe the client is eligible for both Medicare and Medicaid.
  2. The client with pneumonia has tested positive for TB (tuberculosis).
  3. Did you know that the client in Room 45 has a daughter who has type 1 diabetes mellitus?
  4. I arranged for the client's information to be faxed to the assistive living facility she will be transferred to.

Question 2

Which of the following nursing actions best reflects a nurse's commitment to the ethical principle of fostering autonomy regarding an older client living in an extended care facility?
 
  1. Providing options regarding the furniture arrangement of the client's room
  2. Supporting a client's decision to adopt a DNR (do not resuscitate) status
  3. Allowing sufficient time for the client to independently accomplish morning hy-giene
  4. Consulting the client regarding personal preferences regarding treatment options



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Mollythedog

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Answer to Question 1

ANS: 3
This information is private and the nurse is violating the client's right to confidentiality because the information has no bearing on the care needs of the client. The remaining options are not re-flective of an ethical breech because the exchange of that information has a direct bearing on the client's care.

Answer to Question 2

ANS: 2
Following the ethical principle of autonomy, the nurse facilitates a client's decision-making pro-cess in order to make their own decisions regarding all aspects of life, including their care, and then supports those decisions. The most important and possibly controversial decision is that of DNR status and thus shows the greatest commitment on the nurse's part.





 

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