Which ethical principle is violated when the RN tells the hospital accountant that the patient is HIV-positive?
a. Beneficence
b. Veracity
c. Confidentiality
d. Autonomy
A, C
Beneficence means "doing good for clients and providing benefit balanced against risk." The hospital accountant had no need to know; therefore, there was no benefit for the patient for him to be told. Confidentiality prohibits disclosures of information gained in certain relationships to third parties without the consent of the original source of the information. Without the patient giving express consent, the hospital accountant has no need for this information, and it is a breach of confidentiality.
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