A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the Inservice?
A.
“A nurse can disclose information to a family member with the client’s permission”
B.
“A nurse is responsible for informing clients about treatment options”
C.
“A nurse can apply restraints on a PRN basis”
D.
“A nurse can administer medications without consent to a client as part of a research study”
The correct answer and Explanation is :
The correct answer is A. “A nurse can disclose information to a family member with the client’s permission.”
Explanation:
Client rights are fundamental to nursing practice and patient care, and understanding these rights is crucial for maintaining ethical and legal standards in healthcare. Here’s a breakdown of why option A is the correct choice and why the others are not:
A. “A nurse can disclose information to a family member with the client’s permission.”
This statement is accurate and reflects a key aspect of client rights. According to the Health Insurance Portability and Accountability Act (HIPAA) in the U.S., healthcare providers must maintain the confidentiality of a client’s health information. However, clients have the right to consent to the sharing of their health information. If a client authorizes the release of their information to a family member, the nurse can disclose that information in accordance with the client’s wishes. This practice respects the client’s autonomy and their right to control who has access to their personal health information.
B. “A nurse is responsible for informing clients about treatment options.”
While it is true that nurses should provide information to clients, the primary responsibility for informing clients about treatment options typically falls under the domain of the physician or healthcare provider who is proposing the treatment. Nurses do play a crucial role in educating clients and providing support and clarification about treatments, but the formal consent process and detailed explanation of options are usually conducted by the prescribing or primary physician.
C. “A nurse can apply restraints on a PRN basis.”
The use of restraints is a highly regulated practice. Restraints should only be used in specific circumstances where it is necessary to ensure safety, and they require a physician’s order. Applying restraints on a PRN (as-needed) basis is not appropriate; instead, there must be a clear and documented medical justification for their use, and alternatives should be considered first.
D. “A nurse can administer medications without consent to a client as part of a research study.”
This statement is incorrect. Informed consent is a fundamental ethical and legal requirement in research involving human subjects. Clients must be fully informed about the research, including potential risks and benefits, and must provide consent before participating. Administering medications or conducting procedures without proper consent violates ethical standards and legal requirements.
Overall, respecting client autonomy and ensuring informed consent are essential components of ethical nursing practice, as highlighted in option A.