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Zorluk: OrtaConfidentiality and Information Security

A practical nurse (PN) observes a nursing student taking a selfie with a personal smartphone in the clinical unit hallway. In the background of the photograph, a client is clearly visible walking out of their room. What is the priority nursing action?

  1. Instruct the nursing student to immediately delete the photograph from the device.Cevap
  2. B
    Notify the student's clinical instructor about the confidentiality breach.
  3. C
    Review the facility's policy on personal electronic devices with the student.
  4. D
    Ask the client if they provided permission to be included in the photograph.

Cevap

Instruct the nursing student to immediately delete the photograph from the device.
The immediate priority when a potential confidentiality breach occurs is containment. The nurse must intervene right away to ensure the unauthorized photograph is deleted before it can be uploaded to social media, texted, or otherwise transmitted. This immediate action protects the client's right to privacy. Once the immediate threat is contained, the nurse can proceed with reporting the incident and educating the student.

Adım Adım Çözüm

1
Identify the immediate threat to client confidentiality.
An unauthorized photograph containing a client's identifiable image is present on an unencrypted, personal device.
Personal devices pose a high risk because the image could be rapidly shared, uploaded to social media, or automatically backed up to a cloud service.
2
Determine the priority nursing intervention based on incident management principles.
Containment of the active breach is the primary step.
Before reporting the incident or educating the individual, the nurse must intervene to stop the ongoing violation and prevent any further dissemination of protected health information.

Anahtar Kavram

Client Privacy and Containment of Confidentiality Breaches
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