Which situation demonstrates correct principles of confidentiality?
A. An emergency department nurse reports suspected child abuse. B. Two nurses in an elevator are discussing a client s status. C. A nurse copies and e-mails client information to a friend. D. During change-of-shift report, a nurse talks about a client s personal problems.
An emergency department nurse reports suspected child abuse.-rationale: any health care provider must report suspected child abuse. sharing this information doesnt violate the clients right to confidentiality. a discussion of confidential information in a public place may be overheard and is a breach of confidentiality. any client information, whether written or electronic, is considered confidential; e-mailing it to a friend would be considered a breach of confidentiality. nurses must discuss clients problems during change-of-shift report, but these discussions should be limited to information needed to provide safe care.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 256.