The school nurse is performing health screenings during the physical education class. The nurse plans to weigh, measure, and determine body mass index of the adolescents. The scale has been set up in the open gym to speed the process

Question

What should the nurse do to maintain confidentiality of the findings? 1. Have a student worker record the screening findings on the appropriate adolescent's record.
2. Have a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record.
3. Provide a privacy screen and have the health aid record the findings directly on the record. The nurse will then calculate body mass index.
4. Use a buddy system with the students, having the students measure each other and record the findings.

Answer 1

3
Rationale 1: This would be inappropriate. Other students should not have access to any adolescent's private information.
Rationale 2: Volunteers should not be included in the process of gathering data. Verbal reporting of findings would allow other adolescents to hear the results, violating the confidentiality of the student being screened.
Rationale 3: A privacy screen and written responses will prevent other adolescents for hearing or seeing results.
Rationale 4: Although this limits the number of adolescents who have access to personal data, this still is an invasion of privacy.
Global Rationale: