A patient, brought into the ED by family members who reported a fall, shares that the in-jury was actually a result of physical abuse. The patient tells the nurse that this is to be kept confidential because, "that is my right."
The nurse tells the patient that:
a. It is a patient right but it was intended to protect patients.
b. Nurses are required by law to report all incidents of abuse.
c. The report will not mention the patient's admission that abuse has occurred.
d. The abuser needs to be stopped before they go on to really cause the patient harm.
ANS: B
Releasing patient information in the context of a criminal act, such as physical abuse, is ex-empt from confidentiality standards and laws, because the release of this information is for the protection of the victim; it is used to investigate the crime and potentially to apprehend the perpetrator. Although the remaining options are true, those statements do not adequately address the patient's remarks.
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