part 1 of this case study, your friend Sally met your former client John at a party. You know that John has a serious illness and has been hospitalized in the past.
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A: Advise Sally to ask John about his health.
Correct! It is up to John to decide whether to disclose his health information to Sally. Even though she is your friend, it is unethical to violate his right to confidentiality. Nurses safeguard personal and health information learned in the context of the nurse-client relationship and disclose this information (outside of the health care team) only with client consent or when there is a specific ethical or legal obligation to do so.
B: Tell Sally you know what's wrong with John but you can't discuss it.
That's not correct. By disclosing to Sally that you know anything about John's illness, you’re violating John’s confidentiality. Nurses access and disclose personal and health information about clients only for purposes that are consistent with their professional responsibilities.
C: Tell Sally what is likely going on with John's health, since he's not your client anymore.
That's not correct. You have privileged information and cannot share it unless there is a significant risk to the client or someone else, or you have express permission, no matter how long ago the nurse-client relationship ended.
D: Tell Sally that you were John's nurse, but you can't talk about his health unless he gives you permission.
That's not correct. By admitting that you know John, and his medical history, you’re violating confidentiality. You cannot use or disclose his personal information.
We hope you're finding the new BCCNP website useful and easy to navigate. For the time being, we've maintained separate standards & resources sections for each nursing designation. As our team here at BCCNP begins coalescing, you'll begin seeing more shared standards, case studies and resources.
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