A nurse is providing care for a client in a semi-private room. Behind the drawn privacy curtain, the other client in the room is discussing their recent human immunodeficiency virus (HIV) diagnosis and treatment plan with a physician. The nurse's client overhears the conversation, becomes visibly anxious, and asks the nurse, "What is wrong with the person next to me? Am I going to catch something dangerous?" Which of the following is the most appropriate response by the nurse?
- AI can see you are concerned, but my priority is focusing on your scheduled treatments rather than the other client.
- BWe utilize standard precautions for every individual in the hospital, which prevents the transmission of their specific illness to you.
- I cannot share personal health information about other clients, but I assure you we follow strict safety protocols to protect everyone.Answer
- DYou do not need to worry about catching anything; their condition is not spread through the air or casual contact.
Answer
The response stating that personal health information about other clients cannot be shared, followed by reassurance about general safety protocols.
The correct response addresses the client's anxiety therapeutically while firmly maintaining the legal and ethical boundaries of confidentiality. It clearly states the inability to share another client's protected health information (PHI) without confirming or denying the presence of any disease, and it provides appropriate comfort by mentioning general safety practices.
Step-by-Step Solution
Key Concept
Incidental Disclosures and Maintenance of Confidentiality in Shared Spaces