An adult client is awaiting a diagnostic procedure. A visitor approaches the nursing station, identifies themselves as the client's sibling, and states, "My brother is acting very confused today. The unit secretary said he needs a procedure done. Give me the consent form so I can sign it for him." The practical nurse (PN) checks the medical record and notes the sibling is not listed as the emergency contact or designated healthcare proxy. Which of the following is the most appropriate action by the PN to advocate for the client's rights?
- AHand the consent form to the sibling and answer their questions about the procedural risks prior to witnessing the signature.
- BAssess the client's current level of orientation to determine if the sibling should be permitted to sign the document.
- Inform the visitor that medical information and consent documents cannot be shared without the client's explicit authorization.Cevap
- DConfirm the time of the scheduled procedure with the sibling but explain that the provider must obtain the signature.
Cevap
The practical nurse must refuse to provide the form or share information, stating that medical details cannot be disclosed without the client's explicit authorization.
The correct answer emphasizes protecting the client's right to privacy. Because the sibling is not the designated healthcare proxy or an authorized contact, the practical nurse cannot legally disclose medical information, confirm scheduled procedures, or allow the sibling to sign medical documents. Withholding this information directly advocates for the client's legal rights under confidentiality laws.
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Anahtar Kavram
Client Privacy, Confidentiality, and Authorized Decision Making