A patient tells the nurse that her brother is an employee of the hospital and she does not want him to know anything about her care. The nurse should do which of the following with this information?
1. Document that the brother is not permitted to review the patient's medical record.
2. Tell the other nurses during change of shift report about the brother's employment.
3. Ask the patient why she is concerned.
4. Nothing.
Document that the brother is not permitted to review the patient's medical record.
Rationale: Patients should be asked about their preferences about disclosure of their health care information at the time of admission or when beginning a relationship with a health care provider. The patient has control over her health information and how it is used. The nurse should document that the brother is not permitted to review the patient's medical record. The nurse should not talk about the brother's employment during change of shift report. The nurse should not ask the patient to justify her request. Doing nothing is inappropriate.
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